Justin Sta. Ana

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS66337 Issued in FL

Practice address

855 W 8TH St
Jacksonville, FL 32209

Phone

(904) 244-3333

NPI assigned

Oct 4, 2023

Last updated

Oct 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1972383214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 OAK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322058126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W 8TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32209",
            "telephone_number": "904-244-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STA. ANA",
        "first_name": "JUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS66337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Vincent's Healthcare
• St. Vincent's Intensivists, LLC
• St. Vincent's Medical Center, Inc. (Ascension St Vincent's Riverside)
• Agelet St.Hubert, AFCH PROVIDER
• Eliza Enriquez Sta-Maria, RPT
• Christopher Staana
• Stacey Michel Davis, LLC
• Patricia Ann Stacey-Sall, L.C.S.W.
• Jailyn Lashawn Stacey
• Luke Michael Stachler, MD

• 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 4, 2023; 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.