Provider Demographics
NPI:1003418948
Name:CAREMAX PHARMACY LLC
Entity Type:Organization
Organization Name:CAREMAX PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR/MGR
Authorized Official - Prefix:
Authorized Official - First Name:KRISHNAKANT
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-551-9026
Mailing Address - Street 1:PO BOX 54668
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32245-4668
Mailing Address - Country:US
Mailing Address - Phone:904-728-2656
Mailing Address - Fax:
Practice Address - Street 1:2789 PARK ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205-7607
Practice Address - Country:US
Practice Address - Phone:904-551-9026
Practice Address - Fax:904-758-3519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy