Emmanuel Djokoto, MD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS30128 Issued in FL

Practice address

5800 Beach Blvd Ste 105
Jacksonville, FL 32207-5180

Phone

(904) 374-9334

Fax

(904) 374-9309

NPI assigned

Mar 12, 2007

Sex

Male

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• New Lynk, LLC

  • Community/Retail Pharmacy
  • Jacksonville, FL
  • NPI 1033565585
  NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1265564249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 CASCADIA CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923417",
            "telephone_number": "904-374-9334",
            "fax_number": "904-374-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BEACH BLVD STE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075180",
            "telephone_number": "904-374-9334",
            "fax_number": "904-374-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJOKOTO",
        "first_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS30128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorilee Dizon, PHARMD
• Ramon Pedro Dizon, M.D.
• Rheia Dizon
• Azita Djalilvand, M.D.
• Danna Farida Djerma
• DLC Nurse & Learn, Inc.
• Jeffrey Samuel Dlott, M.D.
• DMC Wellness
• DME DC Provider LLC
• Galyna I Dmytrenko, SLPA

• 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 Mar 2, 2022; 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.