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Dr. Judy Kommareddy , PharmD

Pharmacist β€’ Jacksonville, FL

Active NPI 1538290044 Individual Practitioner Female Practitioner
Practice location in NPPES

9860 Beach Blvd Ste C
Jacksonville, FL 322464704

Call 9042018222 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9860 Beach Blvd Ste C

Jacksonville, FL 322464704

Telephone 9042018222
Fax 9042974039
Organization at the Same NPPES Address or Phone
Baygreen Pharmacy Corp Facility NPI 1902170889

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

1,033 active clinicians are listed under Pharmacist with a practice address in Jacksonville, FL (19,430 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 1,033 clinicians have the CMS telehealth indicator.

0% of these 1,033 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-19
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES FL PS37473

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

11101 Saint Augustine Rd

Jacksonville, FL 322571159

Phone: 9042609755

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Business Mailing Address September 19, 2022

Registered at PO BOX 600316, JACKSONVILLE, FL 322600316 (Tel: 9045357514)

πŸ“
Updated Practice Location October 15, 2019

Registered at 9860 BEACH BLVD STE C, JACKSONVILLE, FL 322464704 (Tel: 9042018222)

πŸ“
Updated Business Mailing Address October 15, 2019

Registered at 11194 CASTLEMAIN CIR W, JACKSONVILLE, FL 322564828 (Tel: 9049621175)

πŸ‘€
Provider Name / Credentials Updated October 15, 2019

Recorded as JUDY KOMMAREDDY, PHARM D

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 11101 SAINT AUGUSTINE RD, JACKSONVILLE, FL 322571159 (Tel: 9042609755)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 10435 MIDTOWN PKWY UNIT 125, JACKSONVILLE, FL 322467410 (Tel: 9049621175)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as JUDY JACOB, PHARM D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (license number reported to NPPES: FL PS37473)

🟒
Initial NPI Registration & Enumeration March 08, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1538290044
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2007
Last Update: September 19, 2022
Sole Proprietor: Yes

Other Pharmacists in Jacksonville

All Pharmacists in Jacksonville

Mailing Address

Po Box 600316

Jacksonville, FL 322600316

Phone: 9045357514

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.