Jessica Graber

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS54896 Issued in FL

Practice address

22191 Powerline Rd Ste 22C
Boca Raton, FL 33433-5019

Phone

(561) 391-6336

NPI assigned

Jan 25, 2021

Last updated

Jan 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boca Pharmacy Services Inc

  dba Boca Pharmacy & Home Health Center #2

  • Community/Retail Pharmacy
  • Boca Raton, FL
  • NPI 1760591960
  NPD (past)

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1912597816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22191 POWERLINE RD STE 22C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335019",
            "telephone_number": "561-391-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22191 POWERLINE RD STE 22C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335019",
            "telephone_number": "561-391-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "PS54896",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bocapharmacy@att.net",
            "affiliation": "N",
            "endpointDescription": "pharmacy email",
            "address_1": "22191 Powerline Rd Ste 22C",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334335019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lindsay Gottlieb
• Michelle K. Gough, PA-C
• Christopher Gouveia, DC
• Marie Rose Gouz, BSN, RN
• Oleg Gozenpud, DC
• Elisa K Grabois, LCSW
• Grace Mobile Healthcare Solutions LLC
• Grace's Health Agency
• Lindsay Eliza Gracey, AUD
• Marek Graczkowski, OTR

• Pharmacist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.