Jennifer Lynn Coachman, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS34994 Issued in FL

Practice address

13227 City Square Dr
Jacksonville, FL 32218-7218

Phone

(904) 751-5141

NPI assigned

Oct 31, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Interoperability endpoints

• Direct secure messaging: jcoachm.s03702@us.wal-mart.com

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1902406556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 PLUMBRIDGE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186121",
            "telephone_number": "904-610-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13227 CITY SQUARE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187218",
            "telephone_number": "904-751-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COACHMAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JCOACHM.s03702@US.wal-mart.com",
            "affiliation": "N",
            "address_1": "13227 City Square Dr",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322187218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natalie Clum
• Yukino Higa Clyburn
• Erin Cmorey, M.S. CCC-SLP
• CMS Jacksonville
• Erwin Veluz Co, RN
• Amanda Coad, BCBA
• Noah Coahran, RN
• Jennifer Coalson, RDN
• Coast Dental P.a. (Coast Dental-Mandarin)
• Coast Dental P.a. (Coast Dental-Jacksonville)

• 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 Oct 31, 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.