THE MEDIMIX, LLC (NPI# 1861761694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861761694 |
| Entity Type | Organization |
| Organization Name | THE MEDIMIX, LLC |
| Other Organization Name | MEDIMIX SPECIALTY PHARMACY |
| Practice Address |
6820 Southpoint Pkwy Suite 9 Jacksonville FL 32216-6276 |
| Practice Telephone | 9045676334 |
| Practice Fax Number | 8667456334 |
| Mailing Telephone | 9045676334 |
| Mailing Fax Number | 8667456334 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Authorized Official Name | JERON STOKES (MGR) |
| Authorized Official Telephone | 9045676334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH25863 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Medimix Specialty Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | The Medimix, LLC | 6820 Southpoint Parkway, Suite 9, Jacksonville, FL 32216 |
| Washington State Corporations | THE MEDIMIX, LLC | 2015 33rd St, Everett, WA 98201 |
| Ohio Business Entities | THE MEDIMIX, LLC | Jeron Stokes, 6820 Southpoint Parkway, Suite 9, Jacksonville, FL 32216 |
| Connecticut Business Registrations | THE MEDIMIX, LLC | 6820 Southpoint Parkway, Suite 9, Jacksonville, FL 32216 |
| Massachusetts Corporations | THE MEDIMIX, LLC | 6820 Southpoint Parkway, Suite 9, Jacksonville, FL 32216 |
| Oklahoma Business Registrations | THE MEDIMIX, LLC | 6820 Southpoint Parkway, Suite 9, Jacksonville, FL 32216 |
| Indiana Business Entities | THE MEDIMIX, LLC | 6820 Southpoint Pkwy, Ste 9, Jacksonville, FL 32216 |
| Street Address |
6820 SOUTHPOINT PKWY SUITE 9 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-6276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073551099 | Total Patient Care Home Health, LLC | Home Health | 6820 Southpoint Pkwy, Suite 4, Jacksonville, FL 32216-6276 | 2006-06-03 |
| 1124594619 | Mt Medical Florida, Inc | Ambulance | 6820 Southpoint Pkwy, Jacksonville, FL 32216-6276 | 2018-10-23 |
| 1528579034 | Ambulatory Care Specialists of Jacksonville LLC | Clinic/Center | 6820 Southpoint Pkwy, Jacksonville, FL 32216 | 2017-10-24 |
| 1427367770 | Vascular Access Center of Jacksonville LLC | Radiology | 6820 Southpoint Pkwy, Jacksonville, FL 32216-6276 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1275191983 | University Pharmacy of Jacksonville, Inc | Pharmacy | 3901 University Blvd S Ste 237, Jacksonville, FL 32216-4390 | 2019-05-29 |
| 1992273023 | Public Square Pharmacy LLC | Pharmacy | 11757 Beach Blvd Ste 7, Jacksonville, FL 32246-6633 | 2018-11-07 |
| 1841707940 | Excel Pharmacy Partners LLC | Pharmacy | 6817 Southpoint Pkwy Ste 2204, Jacksonville, FL 32216-8200 | 2018-01-10 |
| 1144735556 | Costco Wholesale Corporation | Pharmacy | 8000 Parramore Rd, Jacksonville, FL 32244 | 2017-12-07 |
| 1912418286 | Av 1 Pharma LLC | Pharmacy | 1539 University Blvd N, Jacksonville, FL 32211-5229 | 2017-10-13 |
| 1629589908 | A V 2 Pharma LLC | Pharmacy | 1537 University Blvd N # Dn, Jacksonville, FL 32211-5229 | 2017-10-13 |
| 1881117109 | Summit Vision Inc. | Pharmacy | 3416 Moncrief Rd Ste 101, Jacksonville, FL 32209-4340 | 2017-07-18 |
| 1316486525 | Smart Pharmacy Inc | Pharmacy | 14003 Beach Blvd # 1, Jacksonville, FL 32250-1541 | 2017-02-21 |
| 1033565585 | New Lynk, LLC | Pharmacy | 5800 Beach Blvd Ste 105, Jacksonville, FL 32207-5180 | 2016-05-13 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on THE MEDIMIX, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.