Active NPI
Ira Riley Jr., PHARMACIST, MBA
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1366442477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS32741
- Practice address
- 7500 Powers Ave
Apt. 129
Jacksonville, FL 32217-3858 - Phone
- (904) 636-7770
- Fax
- (904) 764-6625
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- 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 | PS32741 | FL | Primary |
Addresses
Primary practice location
7500 Powers Ave
Apt. 129
Jacksonville, FL 32217-3858
Mailing address
7500 Powers Ave
Apt. 129
Jacksonville, FL 32217-3858
Phone (904) 636-7770
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
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS32741 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366442477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 POWERS AVE",
"address_2": "APT. 129",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322173858",
"telephone_number": "904-636-7770",
"fax_number": "904-764-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 POWERS AVE",
"address_2": "APT. 129",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322173858",
"telephone_number": "904-636-7770",
"fax_number": "904-764-6625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "IRA",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PHARMACIST, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS32741",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.