Jennifer Dawn Roberts, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS35106 Issued in FL

Practice address

748 Beal Pkwy NW
Fort Walton Beach, FL 32547-3002

Phone

(850) 863-2204

Fax

(850) 863-9572

NPI assigned

Jun 4, 2017

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496534400000",
    "number": "1316475346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 NORTHAMPTON CIR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 BEAL PKWY NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473002",
            "telephone_number": "850-863-2204",
            "fax_number": "850-863-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2017-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS35106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aiza Rivera, PHARMACIST
• Robert D. Siwicki,D.P.M.,P.a.
• Paul Michael Robert, LPN
• Franklin Arnold Roberts, LMHC LMFT
• Jane Anne Roberts, RN, COTA/L
• Patricia (Trisha) Betty Roberts, RPT
• Jada Montrice Robinson, RBT
• Todd W Robinson, M.D.
• Fabiola Rocho Margara, MATY1
• Justyce Nicole Rodden

• Pharmacist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2017; 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.