OrganizationActive
Marietta Pharmacy LLC
NPI 1912253774 · Community/Retail Pharmacy · Jacksonville, FL
Marietta Pharmacy LLC is a Community/Retail Pharmacy organization in Jacksonville, FL (NPI 1912253774).
Provider details
- NPI number
- 1912253774
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Hanesh Patel, Rxm(904) 999-4884
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
8299 W Beaver St Ste 5
Jacksonville, FL 32220-2315
Phone: (904) 999-4884
Fax: (904) 999-4883
Street-level locationGet directions
Mailing address
8299 W Beaver St Ste 5
Jacksonville, FL 32220-2315
Other names (DBA / former)
- Doing business as
- Marietta Pharmacy
- Doing business as
- Marietta Pharmacy
Registry dates
- Enumerated
- 2012-07-31
- Last updated
- 2022-02-24
- Certified
- 2022-02-24
Frequently asked questions
- What is Marietta Pharmacy LLC's NPI number?
- Marietta Pharmacy LLC's National Provider Identifier (NPI) is 1912253774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marietta Pharmacy LLC?
- Marietta Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Marietta Pharmacy LLC located?
- Marietta Pharmacy LLC's practice location on file with NPPES is 8299 W Beaver St Ste 5, Jacksonville, FL 32220-2315.
- What is Marietta Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Marietta Pharmacy LLC is (904) 999-4884.
- Who is the authorized official for Marietta Pharmacy LLC?
- The authorized official listed on Marietta Pharmacy LLC's NPPES record is Hanesh Patel, Rxm. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marietta Pharmacy LLC's NPI active?
- Yes — Marietta Pharmacy LLC's NPI (1912253774) is active in the NPPES registry as of the last update on 2022-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.