Jeryl Jean Villadolid, PHARMD, BCPS, BCOP

Primary specialty

PharmacistTaxonomy code 183500000X

License

21111 Issued in NC

Practice address

1021 Morehead Medical Dr Ste 3031
Charlotte, NC 28204-2990

Phone

(980) 442-3085

Fax

(980) 442-3002

NPI assigned

Feb 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1073012779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CLARICE AVE APT 185",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042650",
            "telephone_number": "813-601-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MOREHEAD MEDICAL DR STE 3031",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042990",
            "telephone_number": "980-442-3085",
            "fax_number": "980-442-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLADOLID",
        "first_name": "JERYL",
        "middle_name": "JEAN",
        "credential": "PHARMD, BCPS, BCOP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47484",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051295803",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "21111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Osmarie Andrea Villalobos Varela, SA-C
• Dalynes Villalobos-Rivera, DC
• Claudia Villalobos, RN
• Emanuel Villalobos

• Pharmacist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.