Public Square Pharmacy LLC
Organization Active NPI Long Term Care Pharmacy · Jacksonville, FL
NPI 1972491850 · NPPES record last updated Jun 27, 2025
Key facts
- NPI
- 1972491850
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- PUBLIC SQUARE PHARMACY LLC
- Practice address
- 2736 University Blvd W Ste 2
Jacksonville, FL 32217-2170 - Phone
- (904) 531-4556
- NPI assigned
- Jun 27, 2025
- Organization subpart
- No
Authorized official
- Name
- Diego Gomez
- Title
- Owner
- Phone
- (904) 531-4556
Corporate family (same tax ID) 1
Practitioners 1
-
Diego Gomez, PHARMD
National Provider Directory
- Tax ID family
- Public Square Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
2736 University Blvd W Ste 2
Jacksonville, FL 32217-2170
Mailing address
2736 University Blvd W Ste 2
Jacksonville, FL 32217-2170
Phone (904) 531-4556
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- Dinesh Pubbi
- Public Square Pharmacy LLC
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All providers in Jacksonville, FL · Long Term Care Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.