Individual provider Active NPI

Jacqueline Nicole Sloof, PHARMD

  • Pharmacist
  • Orlando, FL
National Provider Identifier
1215280714
Registry record updated Oct 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS49371 Issued in FL
Practice address
3235 Edgewater Dr
Orlando, FL 32804-3723
Phone
(407) 649-7859
NPI assigned
Oct 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS49371 FL Primary

Addresses

Primary practice location

3235 Edgewater Dr
Orlando, FL 32804-3723

Mailing address

12013 Lake Cypress Cir
Apt D303
Orlando, FL 32828-7075
Phone (321) 412-5562

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

LicenseStateTypeSpecialty
PS49371FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350777600000",
    "number": "1215280714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12013 LAKE CYPRESS CIR",
            "address_2": "APT D303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287075",
            "telephone_number": "321-412-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328043723",
            "telephone_number": "407-649-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOOF",
        "first_name": "JACQUELINE",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-21",
        "last_updated": "2012-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS49371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.