Individual provider Active NPI

Jenny Lynn Alfonso, PHARM D

  • Pharmacist
  • Miami, FL
National Provider Identifier
1447587472
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS40236 Issued in FL
Practice address
7500 NW 26TH St Ste 102
Miami, FL 33122-1405
Phone
(305) 740-9696
Fax
(866) 301-1364
NPI assigned
Nov 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS40236 FL Primary

Addresses

Primary practice location

7500 NW 26TH St Ste 102
Miami, FL 33122-1405

Mailing address

7500 NW 26TH St Ste 102
Miami, FL 33122-1405
Phone (305) 740-9696

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

LicenseStateTypeSpecialty
PS40236FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
South Miami Pharmacy II LLC CurrentSince Mar 20, 2022 Accepting new patients

Locations

7425 SW 42nd St
Miami, FL 33155
Phone (305) 262-5999

7500 NW 26th St
Ste 102
Miami, FL 33122
Phone (305) 740-9696

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1447587472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 NW 26TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221405",
            "telephone_number": "305-740-9696",
            "fax_number": "866-301-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 NW 26TH ST STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221405",
            "telephone_number": "305-740-9696",
            "fax_number": "866-301-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "JENNY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-12",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS40236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.