Individual provider Active NPI

Edda Marie Jimenez Quinones, PHARMD

  • Geriatric Pharmacist
  • Tampa, FL
National Provider Identifier
1881123669
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
6263 Issued in PR
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PS54793FLMDPharmacist
6263PRMDMedical 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.

Verify at the official NPI Registry.