Individual provider Active NPI

Mary Darouj

  • Pharmacist
  • Jacksonville, FL
National Provider Identifier
1578234936
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS61750 Issued in FL
Practice address
9700 Argyle Forest Blvd
Jacksonville, FL 32222-2809
Phone
(904) 862-4768
NPI assigned
Sep 25, 2021
Last updated
Sep 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS61750 FL Primary

Addresses

Primary practice location

9700 Argyle Forest Blvd
Jacksonville, FL 32222-2809

Mailing address

9700 Argyle Forest Blvd
Jacksonville, FL 32222-2809
Phone (904) 862-4768

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

State licenses

LicenseStateTypeSpecialty
PS61750FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1578234936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 ARGYLE FOREST BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222809",
            "telephone_number": "904-862-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 ARGYLE FOREST BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222809",
            "telephone_number": "904-862-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAROUJ",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.