Active NPI
Jacqueline L Kill, PHARMD
- Pharmacotherapy Pharmacist
- Riviera Beach, FL
National Provider Identifier
1275867665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PS37960
- Practice address
- 7305 N Military TRL
Pharmacy Department 119
Riviera Beach, FL 33410 - Phone
- (561) 422-7597
- NPI assigned
- Oct 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PS37960 | FL | Primary |
| Pharmacist | 183500000X | PS37690 | FL |
Addresses
Primary practice location
7305 N Military TRL
Pharmacy Department 119
Riviera Beach, FL 33410
Mailing address
13800 Veterans Way # 119
Orlando, FL 32827-7401
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS37690 | FL | MD | Pharmacist |
| PS37960 | FL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1275867665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13800 VETERANS WAY # 119",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7305 N MILITARY TRL",
"address_2": "PHARMACY DEPARTMENT 119",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "33410",
"telephone_number": "561-422-7597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILL",
"first_name": "JACQUELINE",
"middle_name": "L",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-01",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "FL",
"license": "PS37960",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37690",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riviera Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.