OrganizationActive
Baygreen Pharmacy Corp
NPI 1902170889 · Community/Retail Pharmacy · Jacksonville, FL
Provider details
- NPI number
- 1902170889
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Parul Mamtora, Director(904) 535-7514
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
9860 Beach Blvd Ste C
Jacksonville, FL 32246-4704
Phone: (904) 201-8222
Fax: (904) 297-4039
Street-level locationGet directions
Mailing address
Po Box 600316
Jacksonville, FL 32260-0316
Other names (DBA / former)
- Doing business as
- Baygreen Pharmacy
- Doing business as
- Baygreen Pharmacy
Registry dates
- Enumerated
- 2012-02-24
- Last updated
- 2022-09-19
- Certified
- 2022-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.