Jayla Ware
Individual provider Active NPI Pharmacist · Pinecrest, FL
NPI 1962289496 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1962289496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS66320 (FL)
- Practice address
- 8765 S Dixie Hwy
Pinecrest, FL 33156-1111 - Phone
- (305) 910-4703
- NPI assigned
- Sep 8, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS66320 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS66320 | FL | Yes |
Addresses
Primary practice location
8765 S Dixie Hwy
Pinecrest, FL 33156-1111
Mailing address
8765 S Dixie Hwy
Pinecrest, FL 33156-1111
Other providers in Pinecrest, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. 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.