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MARIETTA PHARMACY
NPI 1912253774
Pharmacy - Community/Retail Pharmacy in Jacksonville, FL

Active since July 31, 2012
8299 W BEAVER ST STE 5, JACKSONVILLE, FL 32220(904) 999-4884(904) 999-4883 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marietta Pharmacy NPPES

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

MARIETTA PHARMACY (NPI 1912253774) is a healthcare organization registered as a community/retail pharmacy in Jacksonville, Florida and active in the NPI registry since July 2012. The organization lists Hanesh Patel, Rxm, as its authorized official.

NPPES Registry Identity

NPI1912253774
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMARIETTA PHARMACY LLC
Location Address8299 W BEAVER ST STE 5Jacksonville, FL 32220-2315
Mailing Address8299 W Beaver St Ste 5Jacksonville, FL 32220-2315 · (904) 999-4884 · Fax (904) 999-4883
Phone(904) 999-4884
Fax(904) 999-4883
Organization SubpartNo
Authorized OfficialHanesh PatelRxm · (904) 999-4884
Enumeration DateJuly 31, 2012
Last NPPES UpdateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
✔ NPI 1912253774 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 · PH26285
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
8299 W BEAVER ST STE 5, Jacksonville, FL 32220
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Other Names 1

Doing Business AsMarietta Pharmacy

Other Identifiers 2

Other5711189Ncpdp Provider Identification Number
Medicaid007212200FL

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 ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Marietta Pharmacy carries, from the Medicare DMEPOS supplier directory.

Marietta Pharmacy

DMEPOS supplier · Jacksonville, FLOperated by Marietta Pharmacy LLC
✔

Accepts Medicare assignment

Marietta Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20515535
Medicare Participant SinceMarch 12, 2013
Supplier Location8299W Beaver St 5Jacksonville, FL 32220
Phone(904) 999-4884
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Marietta Pharmacy LLC's NPI number?

The NPI number for Marietta Pharmacy LLC is 1912253774. It was assigned to this organization in the NPPES registry on July 31, 2012. The provider is doing business as Marietta Pharmacy.

Where is Marietta Pharmacy LLC located?

Marietta Pharmacy LLC is located at 8299 W Beaver St Ste 5, Jacksonville, FL 32220. The listed phone number is (904) 999-4884.

What is Marietta Pharmacy LLC's specialty?

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

Does Marietta Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Marietta Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Marietta Pharmacy 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 48 other insurers list Marietta Pharmacy 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 Marietta Pharmacy LLC was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.