Jennifer Anne Boyle, PHARMD
Individual provider Active NPI Ambulatory Care Pharmacist · Saint Johns, FL
NPI 1538799366 · NPPES record last updated Jan 21, 2020
Key facts
- NPI
- 1538799366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Pharmacist 1835P2201X
- License
- PS27545 (FL)
- Practice address
- 445 State Road 13
Saint Johns, FL 32259-3838 - Phone
- (904) 417-9088
- NPI assigned
- Jan 21, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS27545 | FL | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | PS27545 | FL | Yes |
Addresses
Primary practice location
445 State Road 13
Saint Johns, FL 32259-3838
Mailing address
3562 Waterchase Way W
Jacksonville, FL 32224-0803
Phone (904) 699-6418
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | none | ||
| Other URL | na | Other |
Other providers in Saint Johns, FL
- Margaret Suzanne Booher
- Tracie Boudreau
- Jessica Bowes
- Kelly Anne Boyer
- Tyler Lee Boyer
- Lisa M Braasch
- Juanita Denae Bracy
- Bright Future of North Florida, LLC
- Bright Smiles Pediatric Dentistry, PLLC
- Matthew Bright
All providers in Saint Johns, FL · Ambulatory Care Pharmacist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.