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Pavan Kumar Banoth
NPI 1245661032 · Pharmacist · Jacksonville, FL
Pavan Kumar Banoth is a Pharmacist provider in Jacksonville, FL (NPI 1245661032).
Provider details
- NPI number
- 1245661032
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PS45090 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3538 Blanding Blvd
Jacksonville, FL 32210-5253
Phone: (904) 778-7200
Street-level locationGet directions
Mailing address
3657 Silver Bluff Blvd
Orange Park, FL 32065-4237
Registry dates
- Enumerated
- 2013-12-05
- Last updated
- 2013-12-05
Frequently asked questions
- What is Pavan Kumar Banoth's NPI number?
- Pavan Kumar Banoth's National Provider Identifier (NPI) is 1245661032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pavan Kumar Banoth's specialty?
- Pavan Kumar Banoth is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Pavan Kumar Banoth located?
- Pavan Kumar Banoth's practice location on file with NPPES is 3538 Blanding Blvd, Jacksonville, FL 32210-5253.
- What is Pavan Kumar Banoth's phone number?
- The practice phone number listed in the NPPES registry for Pavan Kumar Banoth is (904) 778-7200.
- Is Pavan Kumar Banoth's NPI active?
- Yes — Pavan Kumar Banoth's NPI (1245661032) is active in the NPPES registry as of the last update on 2013-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.