Elizabeth Ann Tem

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS44019 Issued in FL

Practice address

4893 Town Center Pkwy
Jacksonville, FL 32246-8437

Phone

(904) 891-7144

Fax

(904) 642-2445

NPI assigned

Dec 10, 2020

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holiday CVS L.L.C.

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS, L.L.C.

  • Pharmacy
  • Jacksonville, FL
  • NPI 1073842621
  NPD (past)

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1154927556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4893 TOWN CENTER PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468437",
            "telephone_number": "904-891-7144",
            "fax_number": "904-642-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4893 TOWN CENTER PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468437",
            "telephone_number": "904-891-7144",
            "fax_number": "904-642-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEM",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS44019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Standrea L Telfair, CNA
• Daniele Natchgela Telfort, DNP
• Elena Telichko, LMT
• Bijoy Pankaj Telivala, M.D.
• Tyrell Tellis-Martin
• Melissa Templeton, MSN, ARNP, FNP-C
• Susan Gorodetzky Templo, ARNP
• Ten Broeck Jacksonville LLC
• Tender Hearts Companion Care LLC
• Tender Hearts Home Care LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.