NPIMap

Organization Active NPI

Rav Pharma LLC

Doing business as Hometown Pharmacy

  • Community/Retail Pharmacy
  • Callahan, FL
National Provider Identifier
1467140251
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RAV PHARMA LLC
Doing business as
Hometown Pharmacy
Practice address
450077 Sr 200
Suite 4
Callahan, FL 32011
Phone
(904) 515-0929
NPI assigned
Apr 28, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Mr. Ashish Kapoor
Title
Member Manager
Phone
(904) 515-0929

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

450077 Sr 200
Suite 4
Callahan, FL 32011

Mailing address

PO Box 600786
Jacksonville, FL 32260-0786
Phone (904) 515-0929

Other names 1

  • HOMETOWN PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hometown Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

450077 State Road 200
Ste 4
Callahan, FL 32011
Phone (904) 386-6785

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1467140251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600786",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322600786",
            "telephone_number": "904-515-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450077 SR 200",
            "address_2": "SUITE 4",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "32011",
            "telephone_number": "904-515-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAV PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "KAPOOR",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "904-515-0929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Callahan, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.