Active NPI
Jennifer Carolyn Doherty, PHARMD
- Pharmacist
- Orange Park, FL
National Provider Identifier
1811498009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS57339
- Practice address
- 410 Blanding Blvd
Orange Park, FL 32073-5051 - Phone
- (904) 276-6035
- Fax
- (904) 276-6095
- NPI assigned
- Feb 23, 2018
- Last updated
- Feb 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS57339 | FL | Primary |
Addresses
Primary practice location
410 Blanding Blvd
Orange Park, FL 32073-5051
Mailing address
4157A Old Jennings Rd
Middleburg, FL 32068-3742
Phone (904) 589-4159
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS57339 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519344000000",
"number": "1811498009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4157A OLD JENNINGS RD",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320683742",
"telephone_number": "904-589-4159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 BLANDING BLVD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735051",
"telephone_number": "904-276-6035",
"fax_number": "904-276-6095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "JENNIFER",
"middle_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-23",
"last_updated": "2018-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS57339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
- Dna Comprehensive Therapy Services, LLC
- Dna Comprehensive Therapy Services, LLC (Elite Dna Therapy Services)
- Timothy Derrick DO, MD
- Doc to Door PLLC (Vantagewell)
- Doctors Choice Jacksonville LLC (AccentCare Home Health of Jacksonville)
- Kristi Doke
- Aaron Dolan, MD
- Craig A Dolven, DO
- Gabriel Carlos Dominguez
- Maria Rosaria Maullon Dones, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.