Active NPI
Melissa Jock
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1831737766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS50638
- Practice address
- 5647 Roosevelt Blvd
Jacksonville, FL 32244-2301 - Phone
- (904) 384-4640
- NPI assigned
- Dec 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | PS50638 | FL | Primary |
Addresses
Primary practice location
5647 Roosevelt Blvd
Jacksonville, FL 32244-2301
Mailing address
1332 Red Maple CT
Orange Park, FL 32073-3518
Phone (904) 881-9629
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS50638 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1831737766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1332 RED MAPLE CT",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320733518",
"telephone_number": "904-881-9629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5647 ROOSEVELT BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322442301",
"telephone_number": "904-384-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOCK",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-10",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS50638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
- Schaphir Joachin, COTA/L
- Marlene E Joahire, APRN
- Joanne Jean Counseling LLC
- Martha Nan Jobson, LCSW
- Gregoire Francois Jocelyn Jr., MD, PA
- Shauntrella Danielle Monique Joesil
- Sanjivani Joglekar, MD
- John Assi, MD, PA (Children's Health Associates)
- John Assi, MD, PA (Children's Health Associates)
- John Assi, MD, PA (Children's Health Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.