Active NPI
Samuel Jones III
- Pharmacist
- Gainesville, FL
National Provider Identifier
1114352713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS40576
- Practice address
- 2500 N. Main St.
Gainesville, FL 32609 - Phone
- (352) 327-3707
- NPI assigned
- Sep 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | PS40576 | FL | Primary |
Addresses
Primary practice location
2500 N. Main St.
Gainesville, FL 32609
Mailing address
P.O. Box 140973
Gainesville, FL 32614
Phone (850) 508-9601
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS40576 | FL | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1114352713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 140973",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32614",
"telephone_number": "850-508-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N. MAIN ST.",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32609",
"telephone_number": "352-327-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-13",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS40576",
"primary": true
}
],
"identifiers": [],
"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 Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.