Rx-Mart Pharmacy LLC
NPI 1366871774 · Community/Retail Pharmacy · St Augustine, FL
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rx-Mart Pharmacy LLC is a Community/Retail Pharmacy organization in St Augustine, FL (NPI 1366871774).
Provider details
- NPI number
- 1366871774
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Swapna Kondu, Pic(904) 342-2162
- License
- PH27104 (FL)
Specialties & taxonomies
Suppliers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Rx-Mart Pharmacy
Registry dates
- Enumerated
- 2013-11-06
- Last updated
- 2015-06-02
Frequently asked questions
- What is Rx-Mart Pharmacy LLC's NPI number?
- Rx-Mart Pharmacy LLC's National Provider Identifier (NPI) is 1366871774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Rx-Mart Pharmacy LLC?
- Rx-Mart Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Rx-Mart Pharmacy LLC located?
- Rx-Mart Pharmacy LLC's practice location on file with NPPES is 665 State Road 207, St Augustine, FL 32084-5938.
- What is Rx-Mart Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Rx-Mart Pharmacy LLC is (904) 342-2162.
- Does Rx-Mart Pharmacy LLC accept Medicare?
- Rx-Mart Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Rx-Mart Pharmacy LLC?
- The authorized official listed on Rx-Mart Pharmacy LLC's NPPES record is Swapna Kondu, Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Rx-Mart Pharmacy LLC's NPI active?
- Yes — Rx-Mart Pharmacy LLC's NPI (1366871774) is active in the NPPES registry as of the last update on 2015-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.