Individual provider Active NPI

Jennifer Ann Raquipo, PHARMD

  • Pharmacist
  • Gainesville, FL
National Provider Identifier
1548608367
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS51426 Issued in FL
Practice address
2508 SW 35TH PL
Apt O-90
Gainesville, FL 32608-3252
Phone
(954) 328-3720
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS51426 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X PSI26230 FL

Addresses

Primary practice location

2508 SW 35TH PL
Apt O-90
Gainesville, FL 32608-3252

Mailing address

807 E Silver Springs Blvd
Ocala, FL 34470-6709
Phone (352) 622-3938

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
PS51426FLMDPharmacist
PSI26230FLMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1548608367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 E SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706709",
            "telephone_number": "352-622-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 SW 35TH PL",
            "address_2": "APT O-90",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083252",
            "telephone_number": "954-328-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAQUIPO",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS51426",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "PSI26230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.