Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pavan Kumar Banoth

Individual provider Pharmacist · NPI 1245661032

Pavan Kumar Banoth is a Pharmacist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

3538 Blanding Blvd
Jacksonville, FL 32210-5253
Phone: (904) 778-7200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS45090 (FL)

Record details

NPI number1245661032
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 5, 2013
Last updated in NPPESDecember 5, 2013
Mailing address3657 Silver Bluff Blvd, Orange Park, FL 32065-4237

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