Active NPI
Jamie Kristin Youmans
- Pharmacist
- Melbourne, FL
National Provider Identifier
1245913243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS40474
- Practice address
- 785 N Wickham Rd Ste 104
Melbourne, FL 32935-8857 - Phone
- (321) 567-7505
- NPI assigned
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS40474 | FL | Primary |
Addresses
Primary practice location
785 N Wickham Rd Ste 104
Melbourne, FL 32935-8857
Mailing address
1320 N Banana River Dr
Merritt Island, FL 32952-5790
Phone (239) 601-1399
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS40474 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Health Care Plan Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Managed Care Organization Pharmacy
- Melbourne, FL
- NPI 1700281672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1245913243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 N BANANA RIVER DR",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329525790",
"telephone_number": "239-601-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 N WICKHAM RD STE 104",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329358857",
"telephone_number": "321-567-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUMANS",
"first_name": "JAMIE",
"middle_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS40474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.