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Vipul B Mamtora

Pharmacist β€’ Jacksonville, FL

Active NPI 1902929565 Individual Practitioner Male Practitioner
Practice location in NPPES

1545 University Blvd N
Jacksonville, FL 322115229

Call 8442248493 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

1545 University Blvd N

Jacksonville, FL 322115229

Telephone 8442248493
Organization at the Same NPPES Address or Phone
Av Pharma Llc Facility NPI 1184003311

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

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Addresses are self-reported to NPPES and may be out of date.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: 2025-12-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES FL PS37485

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

Career & Practice History Timeline

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

11 Historical Events
βœ…
NPI Profile Active October 20, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 20, 2017

Registered at 1545 UNIVERSITY BLVD N, JACKSONVILLE, FL 322115229 (Tel: 8442248493)

πŸ“
Updated Business Mailing Address October 20, 2017

Registered at 1360 ROBERTS RD, JACKSONVILLE, FL 322598928 (Tel: 9042333777)

πŸ‘€
Provider Name / Credentials Updated October 20, 2017

Recorded as VIPUL MAMTORA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2017

Pharmacist (license number reported to NPPES: FL PS37485)

βœ…
NPI Profile Active April 24, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 24, 2008

Registered at 2901 E GINGER CT, JACKSONVILLE, FL 322594561 (Tel: 9042333777)

πŸ“
Business Mailing Address (Initial Record) April 24, 2008

Registered at 2901 E GINGER CT, JACKSONVILLE, FL 322594561 (Tel: 9042333777)

πŸ‘€
Provider Name / Credentials (Initial Record) April 24, 2008

Recorded as VIPUL MAMTORA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2008

Pharmacist (license number reported to NPPES: FL PS37485)

🟒
Initial NPI Registration & Enumeration April 09, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902929565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2007
Last Update: December 15, 2025
Sole Proprietor: No

Other Pharmacists in Jacksonville

All Pharmacists in Jacksonville

Mailing Address

1360 Roberts Rd

Jacksonville, FL 322598928

Phone: 9042333777

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.