Active NPI
Pharmakon LLC
- Community/Retail Pharmacy
- Jacksonville, FL
National Provider Identifier
1487965018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH 24721
- Legal business name
- PHARMAKON LLC
- Practice address
- 2386 Dunn Ave Ste 117
Jacksonville, FL 32218-4751 - Phone
- (904) 696-8882
- Fax
- (904) 696-9982
- NPI assigned
- Jun 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darshankumar B Patel, RPH
- Title
- Owner
- Phone
- (904) 696-8882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PH 24721 | FL | Primary |
Addresses
Primary practice location
2386 Dunn Ave Ste 117
Jacksonville, FL 32218-4751
Mailing address
2386 Dunn Ave Ste 117
Jacksonville, FL 32218-4751
Phone (904) 696-8882
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002748000 | Medicaid | FL | |
| 002748001 | Other | FL | MEDICAID - DME |
| HN481A | Other | FL | MEDICARE NSC - IMMUNIZAITON |
Other names 1
- Duval Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130619000531 | FL | DME Supplier - Pharmacy | 3173762374 | Practice locations: Jacksonville, FL |
| O20130911000596 | FL | Part B Supplier - Pharmacy | 3173762374 | Practice locations: Jacksonville, FL |
National Provider Directory
National Provider Directory- Tax ID family
- Duval Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Jacksonville, FL
- NPI 1629825047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757030400000",
"number": "1487965018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2386 DUNN AVE STE 117",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322184751",
"telephone_number": "904-696-8882",
"fax_number": "904-696-9982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2386 DUNN AVE STE 117",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322184751",
"telephone_number": "904-696-8882",
"fax_number": "904-696-9982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMAKON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-29",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DARSHANKUMAR",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-696-8882",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH 24721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002748000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - DME",
"identifier": "002748001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC - IMMUNIZAITON",
"identifier": "HN481A",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Duval 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 Sep 5, 2025; 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.