NPIMap

Organization Active NPI

Pharmacy4Humanity

Doing business as Ahf Pharmacy

  • Community/Retail Pharmacy
  • Jacksonville, FL
National Provider Identifier
1386695302
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH19401 Issued in FL
Legal business name
PHARMACY4HUMANITY
Doing business as
Ahf Pharmacy
Practice address
2 Shircliff Way Ste 900
Jacksonville, FL 32204-4753
Phone
(904) 389-9744
Fax
(904) 389-9406
NPI assigned
May 15, 2006
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
AIDS HEALTHCARE FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth Scott Carruthers
Title
Chief of Pharmacy
Phone
(310) 999-6089

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH19401 FL Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

2 Shircliff Way Ste 900
Jacksonville, FL 32204-4753

Mailing address

18421 S Main St
Gardena, CA 90248-4609
Phone (310) 999-6089

Other identifiers 2

IdentifierTypeStateIssuer
026490300MedicaidFL
2015763OtherPK

Other names 1

  • AHF PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930024137 FL DME Supplier - Pharmacy 2668369109 Practice locations: Jacksonville, FL
O20171116001880 FL Part B Supplier - Mass Immunization (Roster Biller Only) 2668369109 14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Palm Beach, FL; Saint Petersburg, FL; Safety Harbor, FL; Pensacola, FL; Orlando, FL; North Miami Beach, FL; Miami Beach, FL; Miami, FL…
O20200505001157 FL Part B Supplier - Pharmacy 2668369109 15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pensacola, FL; West Palm Beach, FL; Saint Petersburg, FL; Orlando, FL; Oakland Park, FL; North Miami Beach, FL; Miami Beach, FL; Miami, FL…

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Tax ID family
AIDS Healthecare Foundation27 organizations share this tax ID, including this one
Part of
AIDS Healthcare Foundat

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1386695302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18421 S MAIN ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484609",
            "telephone_number": "310-999-6089",
            "fax_number": "833-261-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHIRCLIFF WAY STE 900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044753",
            "telephone_number": "904-389-9744",
            "fax_number": "904-389-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY4HUMANITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIDS HEALTHCARE FOUNDATION",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "CARRUTHERS",
        "authorized_official_first_name": "KENNETH SCOTT",
        "authorized_official_title_or_position": "CHIEF OF PHARMACY",
        "authorized_official_telephone_number": "310-999-6089"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH19401",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026490300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2015763",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHF PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AHF PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.