OrganizationActive
Beaches Pharmacy LLC
NPI 1730498288 · Community/Retail Pharmacy · Jacksonville, FL
Beaches Pharmacy LLC is a Community/Retail Pharmacy organization in Jacksonville, FL (NPI 1730498288).
Provider details
- NPI number
- 1730498288
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Samuel Mayo, Pharmacist(850) 545-7646
- License
- PS43165 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
4717 San Juan Ave Unit 1
Jacksonville, FL 32210-3229
Phone: (850) 545-7646
Street-level locationGet directions
Mailing address
4320 Deerwood Lake Pkwy Ste 101-211
Jacksonville, FL 32216-1177
Registry dates
- Enumerated
- 2010-10-01
- Last updated
- 2010-10-01
Frequently asked questions
- What is Beaches Pharmacy LLC's NPI number?
- Beaches Pharmacy LLC's National Provider Identifier (NPI) is 1730498288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaches Pharmacy LLC?
- Beaches Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Beaches Pharmacy LLC located?
- Beaches Pharmacy LLC's practice location on file with NPPES is 4717 San Juan Ave Unit 1, Jacksonville, FL 32210-3229.
- What is Beaches Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Beaches Pharmacy LLC is (850) 545-7646.
- Who is the authorized official for Beaches Pharmacy LLC?
- The authorized official listed on Beaches Pharmacy LLC's NPPES record is Samuel Mayo, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaches Pharmacy LLC's NPI active?
- Yes — Beaches Pharmacy LLC's NPI (1730498288) is active in the NPPES registry as of the last update on 2010-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.