Active NPI
Dana Callandra Royston, PHARM.D.
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1083995161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43992
- Practice address
- 4715 Hodges Blvd
Jacksonville, FL 32224-2216 - Phone
- (904) 992-4643
- NPI assigned
- Sep 2, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS43992 | FL | Primary |
| Pharmacist | 183500000X | 0202208790 | VA |
Addresses
Primary practice location
4715 Hodges Blvd
Jacksonville, FL 32224-2216
Mailing address
4770 Seascape Way
Apt 103
Jacksonville, FL 32224-0639
Phone (305) 331-7939
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 |
|---|---|---|---|
| PS43992 | FL | MD | Pharmacist |
| 0202208790 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Jacksonville, FL
- NPI 1447265608
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- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1083995161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 SEASCAPE WAY",
"address_2": "APT 103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322240639",
"telephone_number": "305-331-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 HODGES BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242216",
"telephone_number": "904-992-4643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYSTON",
"first_name": "DANA",
"middle_name": "CALLANDRA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43992",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202208790",
"primary": false
}
],
"identifiers": [],
"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 Sep 2, 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.