Active NPI
Jeniffer Delacruz
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1144871732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS38062
- Practice address
- 655 W 8TH St
Jacksonville, FL 32209 - Phone
- (904) 244-4157
- NPI assigned
- Sep 25, 2019
- Last updated
- Sep 25, 2019
- Sex
- Female
- 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 | PS38062 | FL | Primary |
Addresses
Primary practice location
655 W 8TH St
Jacksonville, FL 32209
Mailing address
655 West 8TH Street
Department of Pharmacy
Jacksonville, FL 32209
Other practice location 1
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-4157
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 |
|---|---|---|---|
| PS38062 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1144871732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 WEST 8TH STREET",
"address_2": "DEPARTMENT OF PHARMACY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W 8TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32209",
"telephone_number": "904-244-4157"
}
],
"practiceLocations": [
{
"address_1": "655 W 8th St",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32209",
"country_code": "US",
"telephone_number": "904-244-4157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELACRUZ",
"first_name": "JENIFFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS38062",
"primary": true
}
],
"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 25, 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.