Individual provider Active NPI

Jennifer Lynn Marcinek, PHARMD

  • Pharmacist
  • Gainesville, FL
National Provider Identifier
1083126288
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS51705 Issued in FL
Practice address
1700 NW 80TH Blvd
Gainesville, FL 32606-9177
Phone
(352) 333-2525
Fax
(888) 276-7948
NPI assigned
Oct 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS51705 FL Primary

Addresses

Primary practice location

1700 NW 80TH Blvd
Gainesville, FL 32606-9177

Mailing address

1910 Church St Ste 100
Nashville, TN 37203-2256
Phone (615) 645-4790

Other identifiers 2

IdentifierTypeStateIssuer
PS51705OtherFLBOARD OF PHARMACY
38322OtherTNBOARD OF PHARMACY

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
PS51705FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1083126288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CHURCH ST STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032256",
            "telephone_number": "615-645-4790",
            "fax_number": "615-645-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW 80TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326069177",
            "telephone_number": "352-333-2525",
            "fax_number": "888-276-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINEK",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS51705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PS51705",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "38322",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.