Active NPI
Jonathan C Odonnell, PHARMD
- Pharmacist
- Tampa, FL
National Provider Identifier
1477260495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS58896
- Practice address
- 5455 W Waters Ave Ste 215
Tampa, FL 33634-1208 - Phone
- (813) 368-6473
- NPI assigned
- Oct 31, 2022
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS58896 | FL | Primary |
Addresses
Primary practice location
5455 W Waters Ave Ste 215
Tampa, FL 33634-1208
Mailing address
5455 W Waters Ave Ste 215
Tampa, FL 33634-1208
Phone (813) 368-6473
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jodonnell@praxisrx.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| PS58896 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1477260495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 W WATERS AVE STE 215",
"city": "TAMPA",
"state": "FL",
"postal_code": "336341208",
"telephone_number": "813-368-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 W WATERS AVE STE 215",
"city": "TAMPA",
"state": "FL",
"postal_code": "336341208",
"telephone_number": "813-368-6473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODONNELL",
"first_name": "JONATHAN",
"middle_name": "C",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-31",
"last_updated": "2022-10-31",
"certification_date": "2022-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS58896",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jodonnell@praxisrx.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5455 W Waters Ave Ste 215",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336341208",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.