Healthcare Provider Details

I. General information

NPI: 1548749351
Provider Name (Legal Business Name): JABER'S PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2018
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

947 BAREFOOT BLVD STE 3
BAREFOOT BAY FL
32976-7101
US

IV. Provider business mailing address

947 BAREFOOT BLVD STE 3
BAREFOOT BAY FL
32976-7101
US

V. Phone/Fax

Practice location:
  • Phone: 772-742-8269
  • Fax: 772-302-3781
Mailing address:
  • Phone: 772-742-8269
  • Fax: 772-302-3781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. RAJESH PATEL
Title or Position: DIRECTOR
Credential: RPH
Phone: 407-488-6851