Active NPI
Jeannette Quinones, PHARM D
- Pharmacist
- St Augustine, FL
National Provider Identifier
1144591603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36845
- Practice address
- 2075 US Highway 1 S
St Augustine, FL 32086-6000 - Phone
- (904) 829-5240
- NPI assigned
- Jan 14, 2012
- Last updated
- Jan 14, 2012
- 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 | PS36845 | FL | Primary |
Addresses
Primary practice location
2075 US Highway 1 S
St Augustine, FL 32086-6000
Mailing address
11554 Summer Brook CT
Jacksonville, FL 32258-2553
Phone (904) 374-6381
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 |
|---|---|---|---|
| PS36845 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326499200000",
"number": "1144591603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11554 SUMMER BROOK CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322582553",
"telephone_number": "904-374-6381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 US HIGHWAY 1 S",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320866000",
"telephone_number": "904-829-5240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINONES",
"first_name": "JEANNETTE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-14",
"last_updated": "2012-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.