University Pharmacy of Jacksonville, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

UNIVERSITY PHARMACY OF JACKSONVILLE, INC

Practice address

3901 University Blvd S Ste 237
Jacksonville, FL 32216-4390

Phone

(904) 535-8792

NPI assigned

May 29, 2019

Organization subpart

No

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

Authorized official

Name

Ahmed Taher Ibrahim

Title

Owner

Phone

(904) 535-8792

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1275191983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S STE 237",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164390",
            "telephone_number": "904-802-7177",
            "fax_number": "904-802-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 UNIVERSITY BLVD S STE 237",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164390",
            "telephone_number": "904-535-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PHARMACY OF JACKSONVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "TAHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-535-8792"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY RETAIL",
            "identifier": "PH32128",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Florida Jacksonville Physicians, Inc.
• University of Florida Jacksonville Physicians, Inc.
• University of Florida, Jacksonville
• University of North Florida Student Medical Service
• University Opco LLC
• Kelly Hodson Unkrich, M.D.
• Unlimited Care , Inc
• Unlimited Home Care LLC
• Untouchable Joy Inc
• Zachary Loarn Upchurch, MD

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.