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PANAMA PHARMACY #2
NPI 1467954438
Pharmacy - Community/Retail Pharmacy in Jacksonville, FL

Active since March 06, 2018CLIA 10D2329469 · Waiver
6022 ATLANTIC BLVD, JACKSONVILLE, FL 32211(904) 990-1054(904) 990-1056 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2022, Oct 18, 2022, Sep 7, 2022 and 2 more (5 updates tracked since 2018).

About Panama Pharmacy #2 NPPES

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

PANAMA PHARMACY #2 (NPI 1467954438) is a healthcare organization registered as a community/retail pharmacy in Jacksonville, Florida and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Kevin Duane, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1467954438
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDE2 LLC
Location Address6022 ATLANTIC BLVDJacksonville, FL 32211-7503
Mailing Address7707 Merrill Rd Unit 8664Jacksonville, FL 32239-7728 · (904) 351-6434
Phone(904) 990-1054
Fax(904) 990-1056
Organization SubpartNo
Authorized OfficialKevin DuaneManaging Member · (904) 990-1054
Enumeration DateMarch 6, 2018
Last NPPES UpdateNovember 7, 20225 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
✔ NPI 1467954438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH31227
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
6022 ATLANTIC BLVD, Jacksonville, FL 32211
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Other Names 2

Doing Business AsPanama Pharmacy #2
Doing Business AsPanama Pharmacy At Emed

Other Identifiers 2

Medicaid025153200FL
Other2176263Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2329469

De2 LLC Dba Panama Pharmacy 2 · Jacksonville, FL
Active · expires Aug 27, 2027
CLIA Number10D2329469
Laboratory TypePharmacy
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorPaul T. Leonard
Laboratory Phone(904) 990-1054
Laboratory LocationDe2 LLC Dba Panama Pharmacy 26022 Atlantic Blvd, Jacksonville, FL 32211
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
12 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services11 patients

Other Providers at the Same Location NPPES 3

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

PAUL LEONARD PHARMD
Pharmacist
6022 ATLANTIC BLVD
JACKSONVILLE, FL 32211
Duval County (904) 990-1054
DC STILES, INC
Pharmacist
6022 ATLANTIC BLVD
JACKSONVILLE, FL 32211
Duval County (904) 724-0424
MS. DENISE ANN STILES-YOUNT RPH
Pharmacist
6022 ATLANTIC BLVD
JACKSONVILLE, FL 32211
Duval County (904) 725-1616

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 De2 LLC's NPI number?

The NPI number for De2 LLC is 1467954438. It was assigned to this organization in the NPPES registry on March 6, 2018. The provider is doing business as Panama Pharmacy #2 and Panama Pharmacy at eMed.

Where is De2 LLC located?

De2 LLC is located at 6022 Atlantic Blvd, Jacksonville, FL 32211. The listed phone number is (904) 990-1054.

What is De2 LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does De2 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2329469) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does De2 LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list De2 LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for De2 LLC was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.