Active NPI
Ali T. Warthen, PHARMD
- Clinic/Center
- Jacksonville, FL
National Provider Identifier
1386836500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 36214
- Practice address
- 3028 W Ginger CT
Jacksonville, FL 32259-4560 - Phone
- (904) 226-1321
- NPI assigned
- Aug 11, 2007
- Last updated
- Aug 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 36214 | FL | Primary |
Addresses
Primary practice location
3028 W Ginger CT
Jacksonville, FL 32259-4560
Mailing address
3028 W Ginger CT
Jacksonville, FL 32259-4560
Phone (904) 226-1321
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 |
|---|---|---|---|
| 36214 | FL | MD | Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186790400000",
"number": "1386836500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3028 W GINGER CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322594560",
"telephone_number": "904-226-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3028 W GINGER CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322594560",
"telephone_number": "904-226-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARTHEN",
"first_name": "ALI",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-11",
"last_updated": "2007-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": "36214",
"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 Aug 11, 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.