NPIMap

Organization Active NPI

Caremax Pharmacy 725 LLC

Doing business as Caremax Pharmacy

  • Clinical Medical Laboratory
  • Jacksonville, FL
National Provider Identifier
1669119392
Registry record updated May 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CAREMAX PHARMACY 725 LLC
Doing business as
Caremax Pharmacy
Practice address
5547 Normandy Blvd
Jacksonville, FL 32205-6246
Phone
(904) 374-2692
NPI assigned
May 14, 2022
Last updated
May 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2022

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

Authorized official

Name
Ankurkumar Ashokkumar ParikhNPI 1790882082
Title
Ao
Phone
(904) 386-6785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5547 Normandy Blvd
Jacksonville, FL 32205-6246

Mailing address

PO Box 600914
Jacksonville, FL 32260-0914
Phone (904) 386-6785

Other identifiers 1

IdentifierTypeStateIssuer
7401400001MedicaidFL

Other names 1

  • CAREMAX PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caremax 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652486400000",
    "number": "1669119392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600914",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322600914",
            "telephone_number": "904-386-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5547 NORMANDY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056246",
            "telephone_number": "904-374-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMAX PHARMACY 725 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-14",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "ANKURKUMAR",
        "authorized_official_middle_name": "ASHOKKUMAR",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "904-386-6785"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7401400001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAREMAX 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 May 14, 2022; 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.