Debra Breeanna Maron, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS59428 Issued in FL

Practice address

9509 San Jose Blvd
Jacksonville, FL 32257-5431

Phone

(904) 288-7865

Fax

(904) 288-7181

NPI assigned

Dec 1, 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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1871198754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 RIVER RD APT 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073077",
            "telephone_number": "904-521-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9509 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575431",
            "telephone_number": "904-288-7865",
            "fax_number": "904-288-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARON",
        "first_name": "DEBRA",
        "middle_name": "BREEANNA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Anthony Marler
• Marlyn Behavioral Health Systems, Inc
• Marlyn Enterprises of Jacksonville, Inc.
• Amanda Hope Marmo, PA-C
• Cecilia Marney, MSW
• Kelli Maroney
• Kristen Marquardt, APRN
• Khalilah Mignon Marques, SLP
• Nathalia Silva Marques
• Evelyn Sofia Marquez Espina

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.