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JEFFERSON PHARMACY LLC NPI 1891193017


NPI Information

NPI: 1891193017
Provider Name: JEFFERSON PHARMACY LLC

Doing Business As: JEFFERSON PHARMACY, LLC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2683 SAINT JOHNS BLUFF RD S STE 127
JACKSONVILLE, FL
ZIP 32246
Phone: (904) 516-8278
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JEFFERSON PHARMACY LLC is a community/retail pharmacy pharmacy in Jacksonville, FL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. JEFFERSON PHARMACY LLC NPI is 1891193017. The provider is registered as an organization entity type.
The provider Is Doing Business As Jefferson Pharmacy, Llc.

The provider's business location address is:

2683 SAINT JOHNS BLUFF RD S STE 127
JACKSONVILLE, FL
ZIP 32246-765
Phone: (904) 516-8278
Fax: (904) 513-9293

The provider's authorized official is Craig Johanson .
The authorized official title is Owner/manager and has the following contact phone number (904) 638-9515.

The enumeration date for this NPI number is 12/22/2014 and was last updated on 1/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyPH28757FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12149467OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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