Active NPI
Martina Blokker
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1366046740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS33378
- Practice address
- 9962 Baymeadows Road
Jacksonville, FL 32256 - Phone
- (904) 641-4244
- NPI assigned
- Nov 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS33378 | FL | Primary |
Addresses
Primary practice location
9962 Baymeadows Road
Jacksonville, FL 32256
Mailing address
8738 Rolling Brook LN
Jacksonville, FL 32256-9025
Phone (190) 443-4143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183500000X | Other | FL | PHARMACY SERVICE PROVIDERS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS33378 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Wesley Chapel, FL
- NPI 1770467466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1366046740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8738 ROLLING BROOK LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569025",
"telephone_number": "190-443-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9962 BAYMEADOWS ROAD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32256",
"telephone_number": "904-641-4244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOKKER",
"first_name": "MARTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS33378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY SERVICE PROVIDERS",
"identifier": "183500000X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.