Healthcare Provider Details

I. General information

NPI: 1306180997
Provider Name (Legal Business Name): LORDONI DISCOUNT PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2012
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 N WICKHAM RD SUITE 126
MELBOURNE FL
32940-2028
US

IV. Provider business mailing address

6300 N WICKHAM RD STE 126
MELBOURNE FL
32940-2037
US

V. Phone/Fax

Practice location:
  • Phone: 321-610-3114
  • Fax: 321-622-8609
Mailing address:
  • Phone: 321-610-3114
  • Fax: 321-622-8609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH26471
License Number StateFL

VIII. Authorized Official

Name: DHARMESH PATEL
Title or Position: OWNER
Credential:
Phone: 321-610-3114