Guardian Pharmacy of Jacksonville

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH21100 Issued in FL

Legal business name

GUARDIAN PHARMACY OF JACKSONVILLE

Practice address

8001 Belfort Pkwy Ste 160
Jacksonville, FL 32256-6966

Phone

(904) 296-0016

Fax

(904) 296-0604

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Khristy McClelland, RPHNPI 1134705783

Title

President

Phone

(904) 296-0016

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GUARDIAN PHARMACY OF JACKSONVILLE Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khristy McClelland, RPH

  • Pharmacist
  • Jacksonville, FL
  • NPI 1134705783
  NPD Authorized official
• Laura Beth Polinsky, PHARMD

  • Pharmacist
  • Jacksonville, FL
  • NPI 1669132858
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1508896291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GUARDIAN PHARMACY OF JACKSONVILLE DEPT 2346",
            "address_2": "P.O. BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460001",
            "telephone_number": "904-296-0016",
            "fax_number": "904-296-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 BELFORT PKWY STE 160",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566966",
            "telephone_number": "904-296-0016",
            "fax_number": "904-296-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAND",
        "authorized_official_first_name": "KHRISTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-296-0016",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH21100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028396700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2004261",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUARDIAN PHARMACY OF JACKSONVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Guardian Angels Nursing Care LLC
• Guardian Home Care Services,LLC
• Guardian Home Care Services,LLC
• Guardian Interpreting Services LLC
• Guardian Medical Transport Corp
• Guardian Pharmacy of Jacksonville, LLC
• Guardian Plus, LLC
• Raquel S Guarino, OT
• Julia Guazzo
• Cassandra Gubala, DMD

• Long Term Care Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.