Baygreen Pharmacy Corp
NPI 1902170889 · Community/Retail Pharmacy · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Baygreen Pharmacy Corp is a Community/Retail Pharmacy organization in Jacksonville, FL (NPI 1902170889).
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
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
Mailing address
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
Frequently asked questions
- What is Baygreen Pharmacy Corp's NPI number?
- Baygreen Pharmacy Corp's National Provider Identifier (NPI) is 1902170889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Baygreen Pharmacy Corp?
- Baygreen Pharmacy Corp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Baygreen Pharmacy Corp located?
- Baygreen Pharmacy Corp's practice location on file with NPPES is 9860 Beach Blvd Ste C, Jacksonville, FL 32246-4704.
- What is Baygreen Pharmacy Corp's phone number?
- The practice phone number listed in the NPPES registry for Baygreen Pharmacy Corp is (904) 201-8222.
- Does Baygreen Pharmacy Corp accept Medicare?
- Baygreen Pharmacy Corp 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 Baygreen Pharmacy Corp?
- The authorized official listed on Baygreen Pharmacy Corp's NPPES record is Parul Mamtora, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Baygreen Pharmacy Corp's NPI active?
- Yes — Baygreen Pharmacy Corp's NPI (1902170889) is active in the NPPES registry as of the last update on 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.