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PRIME PHARMACY
NPI 1962728360
Pharmacy - Community/Retail Pharmacy in Jacksonville, FL

Active since April 12, 2010
7685 103RD ST STE 4, JACKSONVILLE, FL 32210(904) 813-7634(904) 551-6555 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 10, 2019, Feb 28, 2017, Oct 20, 2016 (3 updates tracked since 2016).

About Prime Pharmacy NPPES

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

PRIME PHARMACY (NPI 1962728360) is a healthcare organization registered as a community/retail pharmacy in Jacksonville, Florida and active in the NPI registry since April 2010. The organization maintains a secondary practice location in Jacksonville and lists Sheraz Mirza, Coo, as its authorized official.

NPPES Registry Identity

NPI1962728360
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePRIME PHARMACY, LLC
Location Address7685 103RD ST STE 4Jacksonville, FL 32210
Mailing Address7685 103rd St Ste 4Jacksonville, FL 32210-9325 · (904) 813-7634 · Fax (904) 551-6555
Phone(904) 813-7634
Fax(904) 551-6555
Organization SubpartNo
Authorized OfficialSheraz MirzaCoo · (904) 551-6555
Enumeration DateApril 12, 2010
Last NPPES UpdateJanuary 10, 20193 updates tracked since enumeration
✔ NPI 1962728360 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 · PH24868
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 · Compounding PharmacyTaxonomy 3336C0004X
7685 103RD ST STE 4, Jacksonville, FL 32210
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Other Names 2

Doing Business AsPrime Pharmacy
Doing Business AsPrime Pharmacy Llc

Secondary Practice Location 1

Location 13604 University Blvd S, suite 102Jacksonville, FL 32216-4241 · Phone (904) 813-7634 · Fax (904) 551-6555

Other Identifiers 2

Medicaid002961800FL
Other2126711Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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 Prime Pharmacy, LLC's NPI number?

The NPI number for Prime Pharmacy, LLC is 1962728360. It was assigned to this organization in the NPPES registry on April 12, 2010. The provider is doing business as Prime Pharmacy and Prime Pharmacy LLC.

Where is Prime Pharmacy, LLC located?

Prime Pharmacy, LLC is located at 7685 103rd St Ste 4, Jacksonville, FL 32210. The listed phone number is (904) 813-7634.

What is Prime Pharmacy, LLC's specialty?

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

What insurance does Prime Pharmacy, LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Prime 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 Prime Pharmacy, LLC was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.