Active NPI
Edda Marie Jimenez Quinones, PHARMD
- Geriatric Pharmacist
- Tampa, FL
National Provider Identifier
1881123669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 6263
- Practice address
- 7814 N Dale Mabry Hwy
Tampa, FL 33614-3220 - Phone
- (813) 397-5300
- Fax
- (813) 405-3942
- NPI assigned
- Jun 6, 2017
- Last updated
- Jul 21, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6263 | PR | |
| Pharmacist | 183500000X | PS54793 | FL | |
| Geriatric Pharmacist | 1835G0303X | 6263 | PR | Primary |
Addresses
Primary practice location
7814 N Dale Mabry Hwy
Tampa, FL 33614-3220
Mailing address
A84 Urb San Miguel
Santa Isabel, PR 00757-2513
Phone (787) 358-7097
Other practice location 1
A84 Urb San Miguel
Santa Isabel, PR 00757-2513
Phone (787) 358-7097
Other practice location 2
11010 Longboat Key Ln Apt 106
Tampa, FL 33626-2757
Phone (787) 358-7097
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 |
|---|---|---|---|
| PS54793 | FL | MD | Pharmacist |
| 6263 | PR | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1881123669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A84 URB SAN MIGUEL",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "007572513",
"telephone_number": "787-358-7097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7814 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336143220",
"telephone_number": "813-397-5300",
"fax_number": "813-405-3942"
}
],
"practiceLocations": [
{
"address_1": "A84 Urb San Miguel",
"address_purpose": "LOCATION",
"city": "Santa Isabel",
"state": "PR",
"postal_code": "007572513",
"country_code": "US",
"telephone_number": "787-358-7097",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11010 Longboat Key Ln Apt 106",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336262757",
"country_code": "US",
"telephone_number": "787-358-7097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ QUINONES",
"first_name": "EDDA",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6263",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54793",
"primary": false
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "PR",
"license": "6263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.