Jack Dean II, PHARM.D.
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Fort Myers, FL
NPI 1124265608 · NPPES record last updated Jan 20, 2009
Key facts
- NPI
- 1124265608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- PS40455 (FL)
- Practice address
- 2727 Winkler Ave
Fort Myers, FL 33901-9358 - Phone
- (239) 939-3865
- NPI assigned
- Jan 20, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS40455 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS40455 | FL | Yes |
Addresses
Primary practice location
2727 Winkler Ave
Fort Myers, FL 33901-9358
Mailing address
2727 Winkler Ave
Fort Myers, FL 33901-9358
Phone (239) 939-3865
Other providers in Fort Myers, FL
- Andrea Dean
- Ashayla Dean
- Aubrey Dean
- Debra L Dean
- Eric Allen Dean
- Lindajo Dean
- Wendy Dean
- Jessica Deangelis
- Ava Deangelo
- Kristin Dearmond
All providers in Fort Myers, FL · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.