Individual provider Active NPI

Hsiuwen Jao, PHARMD

  • Pharmacist
  • Pompano Beach, FL
National Provider Identifier
1962170258
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS40315 Issued in FL
Practice address
2100 Park Central Blvd N Ste 300
Pompano Beach, FL 33064-2219
Phone
(954) 615-1840
Fax
(954) 634-3939
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS40315 FL Primary

Addresses

Primary practice location

2100 Park Central Blvd N Ste 300
Pompano Beach, FL 33064-2219

Mailing address

2100 Park Central Blvd N Ste 300
Pompano Beach, FL 33064-2219
Phone (954) 615-1840

Other identifiers 2

IdentifierTypeStateIssuer
255358OtherNABP
PS40315OtherFLFLORIDA PHARMACY LICENSE

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
PS40315FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Solera Specialty Pharmacy, LLC PastSince Sep 5, 2021 Accepting new patients

Organizations & group practices 1

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1962170258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PARK CENTRAL BLVD N STE 300",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330642219",
            "telephone_number": "954-615-1840",
            "fax_number": "954-634-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PARK CENTRAL BLVD N STE 300",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330642219",
            "telephone_number": "954-615-1840",
            "fax_number": "954-634-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAO",
        "first_name": "HSIUWEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS40315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "255358",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA PHARMACY LICENSE",
            "identifier": "PS40315",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

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