Alexandra Patron

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS64511 Issued in FL

Practice address

490 Marsh Landing Pkwy
Jacksonville Beach, FL 32250-5855

Phone

(904) 273-6387

NPI assigned

Aug 8, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1144958281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 MARSH LANDING PKWY",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 MARSH LANDING PKWY",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505855",
            "telephone_number": "904-273-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRON",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS64511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Park, COTA/L
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• Wyvette Parker
• Anita Patel, M.D.
• Shianna Patton
• Paul Hinder DDS PLLC
• Fred Henry Pauli, L.M.H.C., L.P.C.
• Elizabeth J Payne, PT
• Pediatric Associates of Northeast Florida, LLC

• Pharmacist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.