Garlene L. Atcherson, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS24040 Issued in FL

Practice address

3736 Jacob Cove Way
Jacksonville, FL 32218-4585

Phone

(904) 710-7831

Fax

(904) 765-9686

NPI assigned

Oct 12, 2009

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

Other names 1

• Garlene D. Atcherson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1245565043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 JACOB COVE WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184585",
            "telephone_number": "904-710-7831",
            "fax_number": "904-765-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3736 JACOB COVE WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184585",
            "telephone_number": "904-710-7831",
            "fax_number": "904-765-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATCHERSON",
        "first_name": "GARLENE",
        "middle_name": "L.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS24040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GARLENE",
            "last_name": "ATCHERSON",
            "middle_name": "D.",
            "credential": "R.PH.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Oct 12, 2009; 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.