Individual provider Active NPI

Jennifer Deann Pozza, PHARM.D.

  • Pharmacist
  • Panama City, FL
National Provider Identifier
1063799088
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS45653 Issued in FL
Practice address
2340 Highway 77
Panama City, FL 32405-4404
Phone
(850) 785-9528
Fax
(850) 532-6572
NPI assigned
Nov 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS45653 FL Primary

Addresses

Primary practice location

2340 Highway 77
Panama City, FL 32405-4404

Mailing address

1041 Woodyard Rd
Defuniak Springs, FL 32435-4713
Phone (850) 974-9418

Other identifiers 2

IdentifierTypeStateIssuer
PS45653OtherFLFLORIDA DOCTORATE OF PHARMACY LICENSE NUMBER
258088OtherFLNABP E-PROFILE ID#

Other names 1

  • Dr. Jennifer Deann Pozza Former name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS45653FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1063799088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 WOODYARD RD",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324354713",
            "telephone_number": "850-974-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 HIGHWAY 77",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054404",
            "telephone_number": "850-785-9528",
            "fax_number": "850-532-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POZZA",
        "first_name": "JENNIFER",
        "middle_name": "DEANN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS45653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DOCTORATE OF PHARMACY LICENSE NUMBER",
            "identifier": "PS45653",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP E-PROFILE ID#",
            "identifier": "258088",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "POZZA",
            "middle_name": "DEANN",
            "prefix": "DR.",
            "credential": "JENNIFER NEELEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.