Nicole Marie De Jesus

Primary specialty

PharmacistTaxonomy code 183500000X

License

PSI47290 Issued in FL

Practice address

2881 SW 73Rd Way Apt 2104
Davie, FL 33314-1023

Phone

(787) 981-5546

NPI assigned

Oct 1, 2025

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1255205472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 SW 73RD WAY APT 2104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333141023",
            "telephone_number": "787-981-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 SW 73RD WAY APT 2104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333141023",
            "telephone_number": "787-981-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PSI47290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Salvatore De Gaetano, D.O., MSED
• Kristin Helene De Granda
• Diana De Hostos
• Alexandra De Jesus Clemente
• Kenya De Jesus
• Luis De la Barcena
• Kristal Lynn De la Cruz
• Maria De la Cruz
• Daniela De la Hoz
• Annette De la Luz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.