Individual provider Active NPI

James Clayton Senea Jr., PHARMD

  • Pharmacist
  • Live Oak, FL
National Provider Identifier
1770836389
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS34810 Issued in FL
Practice address
1515 Ohio Ave S
Live Oak, FL 32064-4513
Phone
(386) 330-2766
Fax
(386) 330-5350
NPI assigned
Oct 19, 2012
Last updated
Oct 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS34810 FL Primary

Addresses

Primary practice location

1515 Ohio Ave S
Live Oak, FL 32064-4513

Mailing address

1515 Ohio Ave S
Live Oak, FL 32064-4513
Phone (386) 330-2766

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
PS34810FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Feb 27, 2022 Accepting new patients
Walgreen Co Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1770836389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 OHIO AVE S",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320644513",
            "telephone_number": "386-330-2766",
            "fax_number": "386-330-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 OHIO AVE S",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320644513",
            "telephone_number": "386-330-2766",
            "fax_number": "386-330-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENEA",
        "first_name": "JAMES",
        "middle_name": "CLAYTON",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.