Jassica Andrea Mendum, RPH, CPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS 35722 Issued in FL

Practice address

2131 NE 3Rd St
Ocala, FL 34470-6991

Phone

(352) 867-5565

NPI assigned

May 8, 2007

Last updated

Jul 8, 2007By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780897421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 NE 3RD ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706991",
            "telephone_number": "352-867-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 NE 3RD ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706991",
            "telephone_number": "352-867-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDUM",
        "first_name": "JASSICA",
        "middle_name": "ANDREA",
        "name_prefix": "Miss",
        "credential": "RPH, CPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 35722",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PU 5761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meme's Care at Home, Inc.
• Cynthia Menard Clinton, MS, CCTP, LMHC
• Manuel Mendez
• Lynn Mendicino, RPT
• Elemer Mendoza, D.M.D.
• Darren Menendez, PA-C
• Alexandra Meneses
• Gail Menezes, APRN
• Sarah Ann Menias, DDS
• Anne Marie Menjivar, O.D.

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

• 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.