Betsy Jagan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS42486 Issued in FL

Practice address

6085 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34747-4512

Phone

(321) 677-0349

Fax

(321) 677-0321

NPI assigned

Nov 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Holiday CVS L.L.C.

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC

  • Pharmacy
  • Kissimmee, FL
  • NPI 1881997534
  NPD (past)

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1861095762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 SHOREVIEW DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347440001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6085 W IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347474512",
            "telephone_number": "321-677-0349",
            "fax_number": "321-677-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGAN",
        "first_name": "BETSY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS42486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan H. Jacquot, D.D.S.
• Kawattie Jadoo
• Katie Anne Jadra, PHARMD
• Sushmita Divya Jadubans, OTD, OTR/L
• Jag Health & Care LLC
• Ciara Jagdeo
• Lesly Jahuar
• Russell Raymond Jaicks, M.D.
• Omaireliz Jaime Ramos
• Jean Adriel Jaime-Casillas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.