Jenna Radecsky, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

11592 Issued in CT

Practice address

731 Shotgun Rd
Sunrise, FL 33326-1938

Phone

(954) 756-6883

NPI assigned

Mar 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Pods on Call

  • Pharmacy
  • Sunrise, FL
  • NPI 1639694334
  NPD (past)

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1225456148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 SHOTGUN RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 SHOTGUN RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261938",
            "telephone_number": "954-756-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADECSKY",
        "first_name": "JENNA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "11592",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "26781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jedryk Alan Codamon Quitzon, PT
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• Jorge Rabinovich, PA-C
• Carly Rachman, D.O.M, A.P.
• Julius Racho, PT
• Radias Dental and Aesthetics of Miami, PA (Sunrise Smiles Dentistry)
• Elizabeth A. Radovan, CRNA
• Alesia Jomia Ragland
• Rachelle Denise Ragoo, NP
• Steven A. Ragusa, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.