Active NPI
Aida L Rodriguez, RPH
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1073735437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43431
- Practice address
- 3505 University Blvd West
Jacksonville, FL 32217 - Phone
- (904) 636-0779
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS43431 | FL | Primary |
Addresses
Primary practice location
3505 University Blvd West
Jacksonville, FL 32217
Mailing address
365 Candlebark Dr
Jacksonville, FL 32225
Phone (904) 228-2286
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4836 | Other | PR | LICENCIA |
| PS43431 | Other | FL | PHARMACIST |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS43431 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319241600000",
"number": "1073735437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 CANDLEBARK DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32225",
"telephone_number": "904-228-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 UNIVERSITY BLVD WEST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32217",
"telephone_number": "904-636-0779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "AIDA",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2011-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43431",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCIA",
"identifier": "4836",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "PS43431",
"state": "FL"
}
],
"endpoints": [],
"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 Oct 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.