OrganizationActive
Brevard Pharmacy LLC
NPI 1467752691 · Community/Retail Pharmacy · Cocoa, FL
Provider details
- NPI number
- 1467752691
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Chandrikaben Patel, Owner(407) 488-6851
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6250 N US Highway 1
Cocoa, FL 32927-4926
Phone: (321) 305-6975
Fax: (321) 305-6978
Street-level locationGet directions
Mailing address
6250 N US Highway 1
Cocoa, FL 32927-4926
Other names (DBA / former)
- Doing business as
- Port St John Discount Pharmacy
Registry dates
- Enumerated
- 2010-10-21
- Last updated
- 2017-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.