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SAMARA PHARMACY SERVICES LLC NPI 1518204882


NPI Information

NPI: 1518204882
Provider Name: SAMARA PHARMACY SERVICES LLC

Doing Business As: MEDSMART PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 10D2203010

Address:
7855 ARGYLE FOREST BLVD STE 801
JACKSONVILLE, FL
ZIP 32244
Phone: (904) 800-1888
Get Directions

SAMARA PHARMACY SERVICES LLC is a community/retail pharmacy pharmacy in Jacksonville, 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. SAMARA PHARMACY SERVICES LLC NPI is 1518204882. The provider is registered as an organization entity type.
The provider Is Doing Business As Medsmart Pharmacy.

The provider's business location address is:

7855 ARGYLE FOREST BLVD STE 801
JACKSONVILLE, FL
ZIP 32244-706
Phone: (904) 800-1888
Fax: (904) 619-1129

The provider's authorized official is Satish Baddam .
The authorized official title is Pharmacy Manager and has the following contact phone number (904) 800-1888.

The CLIA number assigned to this NPI record is 10D2203010 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2013 and was last updated on 1/13/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
53336C0003XPharmacyCommunity/Retail PharmacyPH26364FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12138460OTHERPK
2007862000MEDICAIDFLORIDA

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: 4/28/2024

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