Active NPI
Jennifer Lynn Marcinek, PHARMD
- Pharmacist
- Gainesville, FL
National Provider Identifier
1083126288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS51705
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS51705 | Other | FL | BOARD OF PHARMACY |
| 38322 | Other | TN | BOARD 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS51705 | FL | MD | Pharmacist |
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.