RX-MART PHARMACY LLC NPI 1366871774

NPI Information

  • NPI: 1366871774
  • Provider Name: RX-MART PHARMACY LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: RX-MART PHARMACY
  • Address: 665 STATE ROAD 207
    SUITE 101
    ST AUGUSTINE, FL
    ZIP 32084
  • Phone: (904) 342-2162

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NPI Details

RX-MART PHARMACY LLC is a community/retail pharmacy pharmacy in St Augustine, FL. The provider is 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. RX-MART PHARMACY LLC NPI is 1366871774. The provider is registered as an organization entity type.
The provider Is Doing Business As Rx-mart Pharmacy.

The provider's business location address is:

665 STATE ROAD 207
SUITE 101
ST AUGUSTINE, FL
ZIP 32084-938
Phone: (904) 342-2162
Fax: (904) 547-2732

The provider's authorized official is Swapna Kondu .
The authorized official title is Pic and has the following contact phone number (904) 342-2162.

The enumeration date for this NPI number is 11/6/2013 and was last updated on 6/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPH27104FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010548300MEDICAIDFLORIDA
22142731OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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