Beaches Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PS43165 Issued in FL

Legal business name

BEACHES PHARMACY LLC

Practice address

4717 San Juan Ave Unit 1
Jacksonville, FL 32210-3229

Phone

(850) 545-7646

NPI assigned

Oct 1, 2010

Organization subpart

No

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

Authorized official

Name

Samuel Mayo, PHARMD, RPHNPI 1649727736

Title

Pharmacist

Phone

(850) 545-7646

Specialties & licenses 1

Addresses

Locations

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.

• Samuel Mayo

  • Pharmacist
  • Jacksonville, FL
  • NPI 1649727736
  Authorized official Same address or phone

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1730498288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 DEERWOOD LAKE PKWY STE 101-211",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 SAN JUAN AVE UNIT 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103229",
            "telephone_number": "850-545-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "850-545-7646",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PS43165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Beach, APRN
• Kiara Beacham
• Beaches Behavioral Health LLC (PsychLife)
• Beaches Behavioral, Inc. (Beaches Behavioral)
• Beaches Pediatrics, PA
• Beaches Recovery Services LLC
• Beaches Urology PA
• Beacon Pediatric Behavioral Health
• Beacon Respiratory Services, Inc. (Arcadia H.O.M.E.)
• Leslie Beadling, M.D.

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.