CAREMAX PHARMACY LLC NPI 1003418948

Assisted Living Facility in Jacksonville, FL

NPI 1003418948 Organization Assisted Living Facility

About CAREMAX PHARMACY LLC

Caremax Pharmacy Llc is a provider established in Jacksonville, Florida specializing in assisted living facility. The NPI number of Caremax Pharmacy Llc is 1003418948 and was assigned on November 2020. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Krishnakant Pandit (Mbr/mgr)

NPI

1003418948

Provider NameCAREMAX PHARMACY LLC
Provider Location Address2789 PARK ST JACKSONVILLE, FL 32205
Provider Mailing AddressPO BOX 54668 JACKSONVILLE, FL 32245
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-16-2020
Last Update Date11-16-2020


Primary Taxonomy

Taxonomy Code310400000X
ClassificationAssisted Living Facility
TypeNursing & Custodial Care Facilities
Taxonomy DescriptionA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Business Address

CAREMAX PHARMACY LLC
2789 PARK ST
JACKSONVILLE, FL
ZIP 32205
Phone: (904) 551-9026
Fax: (904) 758-3519

Get Directions


Mailing Address

CAREMAX PHARMACY LLC
PO BOX 54668
JACKSONVILLE, FL
ZIP 32245
Phone: (904) 728-2656



Authorized Official

Authorized Official Name KRISHNAKANT PANDIT
Authorized Official TitleMBR/MGR
Authorized Official Phone(904) 551-9026

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
13336C0003XSuppliersPharmacyCommunity/Retail PharmacyNo

Taxonomy Description: a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

23336S0011XSuppliersPharmacySpecialty PharmacyNo

Taxonomy Description: a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285973842CAREMAX PHARMACY LLC
Organization
Pharmacy (Community/Retail Pharmacy)2789 PARK ST
JACKSONVILLE, FL 32205
(904) 551-9026
1831694512 SANDI GHOBRIAL
Individual
Pharmacist2789 PARK ST
JACKSONVILLE, FL 32205
(904) 551-9026
1609359249CAREMAX CLINIC 711 LLC
Organization
2789 PARK ST
JACKSONVILLE, FL 32205
(904) 551-9026
1730485731MR. VADIM TROSHKIN FNP
Individual
Clinical Nurse Specialist (Family Health)2789 PARK ST
JACKSONVILLE, FL 32205
(904) 551-9026

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.