PAVAN KUMAR BANOTH
NPI 1245661032
Pharmacist in Jacksonville, FL

Active since December 05, 2013
3538 BLANDING BLVD, JACKSONVILLE, FL 32210(904) 778-7200 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pavan Kumar Banoth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAVAN KUMAR BANOTH (NPI 1245661032) is an individual pharmacist in Jacksonville, Florida, licensed in Florida (PS45090) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1245661032
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NamePAVAN KUMAR BANOTH
Location Address3538 BLANDING BLVDJacksonville, FL 32210-5253
Mailing Address3657 Silver Bluff BlvdOrange Park, FL 32065-4237 · (904) 314-3288
Sole ProprietorYes
Enumeration DateDecember 5, 2013
NPI 1245661032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS45090
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
3538 BLANDING BLVD, Jacksonville, FL 32210

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
3538 BLANDING BLVD
JACKSONVILLE, FL 32210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pavan Kumar Banoth's NPI number?

The NPI number for Pavan Kumar Banoth is 1245661032. It was assigned to this individual provider in the NPPES registry on December 5, 2013.

Where is Pavan Kumar Banoth located?

Pavan Kumar Banoth practices at 3538 Blanding Blvd, Jacksonville, FL 32210. The listed phone number is (904) 778-7200.

What is Pavan Kumar Banoth's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Pavan Kumar Banoth was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.