Jackson Vasquez, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS50450 Issued in FL

Practice address

9105 S Dadeland Blvd
Miami, FL 33156-7813

Phone

(305) 670-8930

NPI assigned

Aug 8, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Miami, FL
  • NPI 1992744866
  NPD (past)

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1174932644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 S DADELAND BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567813",
            "telephone_number": "305-670-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 S DADELAND BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567813",
            "telephone_number": "305-670-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "JACKSON",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS50450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PS50450",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eduardo Jose Vasquez, MD
• Edy Vasquez
• Estefany Maria Vasquez
• Gabriela Vasquez
• Jacklynne Vasquez
• Jessica Ann Vasquez, APRN
• Kelly Giselle Vasquez, FNP-C
• Lester Josue Vasquez
• Monica Vasquez
• Ramiely Vasquez

• Pharmacist in Miami, FL
• Providers in Miami, 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, 2014; 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.