Active NPI
Jasmine Martin, CPS, CPH, MBA
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Jacksonville, FL
National Provider Identifier
1063004851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PS59353
- Practice address
- 2080 Child Street
Jacksonville, FL 32214 - Phone
- (904) 542-9061
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PU9750 | FL | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS59353 | FL | Primary |
Addresses
Primary practice location
2080 Child Street
Jacksonville, FL 32214
Mailing address
2080 Child Street
Jacksonville, FL 32214
Phone (904) 542-9061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1908 | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | DOD | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS59353 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| PU9750 | FL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1063004851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 CHILD STREET",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32214",
"telephone_number": "904-542-9061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CHILD STREET",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32214",
"telephone_number": "904-542-9061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JASMINE",
"name_prefix": "Dr.",
"credential": "CPS, CPH, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PU9750",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS59353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "1908",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "DOD",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2080 Child Street",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "32214",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.