Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902767858 Individual Practitioner Male Practitioner

Jose Thekkedam

Pharmacist • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Jose Thekkedam is a registered healthcare professional specializing in Pharmacist in Melbourne, FL. Practice services are available at 2830 CARIBBEAN ISLE BLVD APT 316 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2830 Caribbean Isle Blvd Apt 316
316

Melbourne, FL 329358160

Telephone 3213264382

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
164 Specialists

Practicing in Melbourne, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-20
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS54409

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 20, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2025

Registered at 2830 CARIBBEAN ISLE BLVD APT 316, 316, MELBOURNE, FL 329358160 (Tel: 3213264382)

📍
Updated Business Mailing Address November 20, 2025

Registered at 2830 CARIBBEAN ISLE BLVD APT 316, MELBOURNE, FL 329358160 (Tel: 3213264382)

👤
Provider Name / Credentials Updated November 20, 2025

Recorded as JOSE THEKKEDAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2025

Pharmacist (License #PS54409 in FL)

🟢
Initial NPI Registration & Enumeration November 20, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902767858
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2025
Last Update: November 20, 2025
Sole Proprietor: No

Mailing Address

2830 Caribbean Isle Blvd Apt 316

Melbourne, FL 329358160

Phone: 3213264382

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.