Jennifer Dean, PHARMD, RPH
Individual provider Active NPI Pharmacist · Crawfordville, FL
NPI 1891398103 · NPPES record last updated Nov 19, 2020
Key facts
- NPI
- 1891398103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS56592 (FL)
- Practice address
- 2668 Crawfordville Hwy
Crawfordville, FL 32327-2160 - Phone
- (850) 926-3541
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS56592 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS56592 | FL | Yes |
Addresses
Primary practice location
2668 Crawfordville Hwy
Crawfordville, FL 32327-2160
Mailing address
2668 Crawfordville Hwy
Crawfordville, FL 32327-2160
Phone (850) 926-3541
Other providers in Crawfordville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.