Baker Pharmacy LLC

Baker Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Macclenny, FL, holding Type 2 (organization) NPI 1689219917 since 2019. The authorized official on file is Pavankumar Banoth, Owner.

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NPI	1689219917
Entity type	Organization (Type 2)
Legal business name	Baker Pharmacy LLC
Practice address	698 W MACCLENNY AVE STE 682, Macclenny, FL, 32063
Phone	9043143288
Enumeration date	2019-11-11
Last updated in NPPES	2019-11-11

Authorized official

Name	Pavankumar Banoth
Title	Owner
Phone	9043143288

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
3336C0003X	Community/Retail Pharmacy	Primary	—	—

Copy-ready billing details

Provider: Baker Pharmacy LLC
NPI: 1689219917
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 698 W MACCLENNY AVE STE 682, Macclenny, FL, 32063

Verify this record

Cross-check NPI 1689219917 against the authoritative CMS record: view Baker Pharmacy LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-11-11. Verify at npiregistry.cms.hhs.gov.

Where is Baker Pharmacy LLC located?

The practice location on file with NPPES is in Macclenny, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-11-11.