Active NPI
Jellino McSween, PHARM D
- Pharmacist
- Miramar, FL
National Provider Identifier
1326207432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS 34909
- Practice address
- 4950 SW 151St Ter
Miramar, FL 33027-3620 - Phone
- (954) 350-0880
- NPI assigned
- Jun 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS 34909 | FL | Primary |
| Pharmacist | 183500000X | 0202217069 | VA | |
| Pharmacist | 183500000X | 019828 | KY | |
| Pharmacist | 183500000X | 62247 | TX | |
| Pharmacist | 183500000X | PD14374 | AR | |
| Pharmacist | 183500000X | 27644 | NC |
Addresses
Primary practice location
4950 SW 151St Ter
Miramar, FL 33027-3620
Mailing address
4950 SW 151St Ter
Miramar, FL 33027-3620
Phone (954) 562-7849
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 |
|---|---|---|---|
| PD14374 | AR | MD | Pharmacist |
| PS 34909 | FL | MD | Pharmacist |
| 019828 | KY | MD | Pharmacist |
| 27644 | NC | MD | Pharmacist |
| 0202217069 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1326207432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 SW 151ST TER",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273620",
"telephone_number": "954-562-7849",
"fax_number": "954-392-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 SW 151ST TER",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273620",
"telephone_number": "954-350-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSWEEN",
"first_name": "JELLINO",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-04",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS 34909",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202217069",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "019828",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62247",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14374",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "27644",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.