Individual provider Active NPI

Denise Ann Stiles-Yount, RPH

  • Pharmacist
  • Jacksonville, FL
National Provider Identifier
1710092879
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19852 Issued in FL
Practice address
6022 Atlantic Blvd
Jacksonville, FL 32211-7503
Phone
(904) 725-1616
Fax
(904) 723-2671
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19852 FL Primary

Addresses

Primary practice location

6022 Atlantic Blvd
Jacksonville, FL 32211-7503

Mailing address

12875 Rabbit Run LN
Jacksonville, FL 32246-1077
Phone (904) 221-3147

Other identifiers 1

IdentifierTypeStateIssuer
FL19852OtherFLSTATE LICENSE NUMBER

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
19852FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
DC Stiles, Inc Pharmacist Current Accepting new patients

Locations

6022 Atlantic Blvd
Jacksonville, FL 32211
Phone (904) 725-1616

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710092879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12875 RABBIT RUN LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322461077",
            "telephone_number": "904-221-3147",
            "fax_number": "904-723-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322117503",
            "telephone_number": "904-725-1616",
            "fax_number": "904-723-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES-YOUNT",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "19852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "FL19852",
            "state": "FL"
        }
    ],
    "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 Jul 8, 2007; 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.