Provider Demographics
NPI:1336741263
Name:CAREMAX PHARMACY 725 LLC
Entity Type:Organization
Organization Name:CAREMAX PHARMACY 725 LLC
Other - Org Name:CAREMAX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED USER
Authorized Official - Prefix:
Authorized Official - First Name:ANKURKUMAR
Authorized Official - Middle Name:ASHOKKUMAR
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-386-6785
Mailing Address - Street 1:PO BOX 600914
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32260-0914
Mailing Address - Country:US
Mailing Address - Phone:904-386-6785
Mailing Address - Fax:
Practice Address - Street 1:5547 NORMANDY BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205-6246
Practice Address - Country:US
Practice Address - Phone:904-374-2692
Practice Address - Fax:866-725-5332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-16
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy