Jalecia Angelica Green, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS52615 Issued in FL

Practice address

5244 Edgewood CT Ste 2
Jacksonville, FL 32254-3601

Phone

(800) 218-8587

NPI assigned

Dec 16, 2020

Last updated

Dec 16, 2020By the provider in NPPES

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

Electronic endpoints 1

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": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1336735059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12349 HAGAN CREEK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188319",
            "telephone_number": "904-314-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5244 EDGEWOOD CT STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543601",
            "telephone_number": "800-218-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JALECIA",
        "middle_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS52615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jaleciagreen@segrocers.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "5244 Edgewood Ct Ste 2",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322543601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chantall-Imani Britany Green
• Christopher Green, LAT ATC
• Deangelo Green
• Diane Beven Green, OTR/L
• Dwayne Green
• James Douglas Green Jr., M.D.
• Jamie Rain Green
• Jasmine Green, FNP
• Jasmine Alexandra Green
• Jeffrey Michael Green, PA-C

• 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 Dec 16, 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.