Active NPI
Justin Michael Knowles, PHARMD
- Pharmacist
- Alachua, FL
National Provider Identifier
1982357299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS45138
- Practice address
- 15174 NW US Highway 441
Alachua, FL 32615-8602 - Phone
- (386) 462-1323
- Fax
- (386) 462-1635
- NPI assigned
- Jan 27, 2022
- Last updated
- Jan 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS45138 | FL | Primary |
Addresses
Primary practice location
15174 NW US Highway 441
Alachua, FL 32615-8602
Mailing address
11905 NW 140TH St
Alachua, FL 32615-6436
Phone (352) 514-9023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS45138 | Other | FL | BOARD OF PHARMACY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS45138 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Current | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Locations
15174 NW US Highway 441
Alachua, FL 32615
Phone (386) 462-1323
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1982357299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11905 NW 140TH ST",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326156436",
"telephone_number": "352-514-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15174 NW US HIGHWAY 441",
"city": "ALACHUA",
"state": "FL",
"postal_code": "326158602",
"telephone_number": "386-462-1323",
"fax_number": "386-462-1635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLES",
"first_name": "JUSTIN",
"middle_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS45138",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PS45138",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alachua, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.