Active NPI
Jason Allan Zealy, PHARMD
- Pharmacist
- Saint Cloud, FL
National Provider Identifier
1497351050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS50372
- Practice address
- 2105 13TH St
Saint Cloud, FL 34769-4206 - Phone
- (407) 892-3213
- NPI assigned
- Dec 9, 2020
- Last updated
- Dec 9, 2020
- 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 | PS50372 | FL | Primary |
Addresses
Primary practice location
2105 13TH St
Saint Cloud, FL 34769-4206
Mailing address
1525 Softshell St
Saint Cloud, FL 34771-7515
Phone (407) 341-0588
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 |
|---|---|---|---|
| PS50372 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients |
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, 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": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1497351050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 SOFTSHELL ST",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347717515",
"telephone_number": "407-341-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 13TH ST",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347694206",
"telephone_number": "407-892-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEALY",
"first_name": "JASON",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-09",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS50372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.