JSJ of Northwest Fla, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS33955 Issued in FL

Legal business name

JSJ OF NORTHWEST FLA, INC

Practice address

4341 Woodbine Rd
Suite C
Pace, FL 32571-8792

Phone

(850) 994-9444

Fax

(850) 995-7772

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wenda Yvonne Sullivan, PHARMD, RPH

Title

Owner, Pharmacist

Phone

(850) 994-9444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609908367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 WOODBINE RD",
            "address_2": "SUITE C",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718792",
            "telephone_number": "850-994-9444",
            "fax_number": "850-995-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 WOODBINE RD",
            "address_2": "SUITE C",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718792",
            "telephone_number": "850-994-9444",
            "fax_number": "850-995-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSJ OF NORTHWEST FLA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "WENDA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER, PHARMACIST",
        "authorized_official_telephone_number": "850-994-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS33955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clintina Johnson
• Lorena Ann Johnson, RN
• Tonya Yvonne Jones
• Emili Jordan
• Wesley Jordan
• Tracy L Judge, RPH
• Zaher Kalaji, MD
• Kristin Kelly, D.C.
• Renee Alison Mae Kenton
• Jarod Keremes, BCABA

• Pharmacist in Pace, FL
• Providers in Pace, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.