Kelly Giang, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS58613 Issued in FL

Practice address

12387 Yellow Bluff Rd
Jacksonville, FL 32226-2025

Phone

(904) 751-2744

NPI assigned

Aug 31, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Jacksonville, FL
  • NPI 1003086380
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1043823818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12387 YELLOW BLUFF RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322262025",
            "telephone_number": "904-751-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12387 YELLOW BLUFF RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322262025",
            "telephone_number": "904-751-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANG",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "29801",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Giammusso
• Georgia Gianakakos, M.D.
• Marissa Gianakas, ARNP
• Michael Nicholas Gianarakis, M.B.B.S.
• Giancarlo Bertozzi MD PA
• Sara Lauren Gianino, M.S., B.C.B.A.
• Jena Giannone, CCC-SLP
• Fantine Nguyen Giap, MD
• Rodney Keith Gibbons, RCSWI
• Sabrina Latanya Gibbons

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.