BEACHES PHARMACY LLC


Address: 4717 San Juan Ave Unit 1, Jacksonville, FL 32210-3229
Phone: 8505457646

BEACHES PHARMACY LLC (NPI# 1730498288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730498288
Entity Type Organization
Organization Name BEACHES PHARMACY LLC
Practice Address 4717 San Juan Ave Unit 1
Jacksonville
FL 32210-3229
Mailing Address 4320 Deerwood Lake Pkwy Ste 101-211
Jacksonville
FL 32216-1177
Practice Telephone 8505457646
Enumeration Date 2010-10-01
Last Update Date 2010-10-01
Authorized Official Name SAMUEL MAYO (PHARMACIST)
Authorized Official Telephone 8505457646
Authorized Official Credential PHARMD, RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PS43165 FL Suppliers

Office Location

Street Address 4717 SAN JUAN AVE UNIT 1
City JACKSONVILLE
State FL
Zip Code 32210-3229

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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

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1992273023 Public Square Pharmacy LLC Pharmacy 11757 Beach Blvd Ste 7, Jacksonville, FL 32246-6633 2018-11-07
1841707940 Excel Pharmacy Partners LLC Pharmacy 6817 Southpoint Pkwy Ste 2204, Jacksonville, FL 32216-8200 2018-01-10
1144735556 Costco Wholesale Corporation Pharmacy 8000 Parramore Rd, Jacksonville, FL 32244 2017-12-07
1912418286 Av 1 Pharma LLC Pharmacy 1539 University Blvd N, Jacksonville, FL 32211-5229 2017-10-13
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1316486525 Smart Pharmacy Inc Pharmacy 14003 Beach Blvd # 1, Jacksonville, FL 32250-1541 2017-02-21
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Competitor

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City JACKSONVILLE
Zip Code 32210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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