Individual provider Active NPI

Ailey Joy Pestcoe

  • Pharmacist
  • Gainesville, FL
National Provider Identifier
1891270252
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS58557 Issued in FL
Practice address
2046 NE Waldo Rd Ste 3100
Gainesville, FL 32609-8977
Phone
(352) 273-9045
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS58557 FL Primary

Addresses

Primary practice location

2046 NE Waldo Rd Ste 3100
Gainesville, FL 32609-8977

Mailing address

2046 NE Waldo Rd Ste 3100
Gainesville, FL 32609-8977
Phone (352) 273-9045

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

LicenseStateTypeSpecialty
PS58557FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida College of Pharmacy Medication Management Pharmacist Past Accepting new patients
University of Florida College of Pharmacy Pharmacist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1891270252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 NE WALDO RD STE 3100",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098977",
            "telephone_number": "352-273-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 NE WALDO RD STE 3100",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098977",
            "telephone_number": "352-273-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTCOE",
        "first_name": "AILEY",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.