Active NPI
Julia Pate, PHARM.D
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1366846164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38237
- Practice address
- 2080 Child St Dept 5000
Jacksonville, FL 32214-2827 - Phone
- (904) 542-7422
- NPI assigned
- Oct 22, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD12875 | AR | |
| Pharmacist | 183500000X | E13680 | MS | |
| Pharmacist | 183500000X | 38237 | TN | Primary |
Addresses
Primary practice location
2080 Child St Dept 5000
Jacksonville, FL 32214-2827
Mailing address
11219 Engineering Way
Jacksonville, FL 32256-8194
Phone (615) 290-2183
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 |
|---|---|---|---|
| PD12875 | AR | MD | Pharmacist |
| E13680 | MS | MD | Pharmacist |
| 38237 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1366846164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11219 ENGINEERING WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322568194",
"telephone_number": "615-290-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CHILD ST DEPT 5000",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322142827",
"telephone_number": "904-542-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "JULIA",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD12875",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E13680",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "38237",
"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 Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.