Desirea Hamilton, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS42943 Issued in FL

Practice address

11250 Old Saint Augustine Rd
Suite 4
Jacksonville, FL 32257-1088

Phone

(904) 262-4250

NPI assigned

Sep 11, 2010

Last updated

Sep 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Jacksonville, FL
  • NPI 1518907468
  NPD (past)

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

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284163200000",
    "number": "1639486616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 OLD SAINT AUGUSTINE RD",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571088",
            "telephone_number": "904-262-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 OLD SAINT AUGUSTINE RD",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571088",
            "telephone_number": "904-262-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DESIREA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-11",
        "last_updated": "2010-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS42943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tewabech K Hamesso
• Blake Hamil
• Amah Olufumilayo Hamilton
• Becky Lashone Hamilton
• Brenda R Hamilton, DMD, MS, FAGD
• Emily Hamilton
• Jakob Skyler Hamilton, MD
• Jared Hamilton, DC
• Katherine Hamilton, APRN
• Kathryn M Hamilton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2010; 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.