Active NPI
Pharmakon LLC
Doing business as Duval Pharmacy LTC
- Long Term Care Pharmacy
- Jacksonville, FL
National Provider Identifier
1629825047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- PHARMAKON LLC
- Doing business as
- Duval Pharmacy LTC
- Practice address
- 2386 Dunn Ave Ste 117
Jacksonville, FL 32218-4751 - Phone
- (904) 696-8882
- Fax
- (904) 696-9982
- NPI assigned
- May 3, 2024
- 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
- Pic
- Phone
- (904) 696-8882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 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 names 1
- Duval Pharmacy LTC
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.
Locations
2386 Dunn Ave
Ste 117
Jacksonville, FL 32218
Phone (904) 696-8882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714694400000",
"number": "1629825047",
"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": "2024-05-03",
"last_updated": "2024-05-03",
"certification_date": "2024-05-02",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DARSHANKUMAR",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "904-696-8882",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Duval Pharmacy LTC",
"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 May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.