Individual provider Active NPI

Charlene Hansen Singletary, RPH CPH

  • Pharmacist
  • Jacksonville, FL
National Provider Identifier
1982766424
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS 16641 Issued in FL
Practice address
4463 Barnaby Dr
Jacksonville, FL 32217-9334
Phone
(850) 567-1296
Fax
(904) 636-7792
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS 16641 FL Primary
Geriatric Pharmacist 1835G0303X PU 5097 FL

Addresses

Primary practice location

4463 Barnaby Dr
Jacksonville, FL 32217-9334

Mailing address

4463 Barnaby Dr
Jacksonville, FL 32217-9334
Phone (850) 567-1296

Other identifiers 4

IdentifierTypeStateIssuer
12455OtherGAREGISTERED PHARMACIST
PU 5097OtherFLCONSULTANT PHARMACIST
9241OtherALREGISTERED PHARMACIST
PS 16641OtherFLREGISTERED PHARMACIST

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS 16641FLMDPharmacist
PU 5097FLMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1982766424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 BARNABY DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322179334",
            "telephone_number": "850-567-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4463 BARNABY DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322179334",
            "telephone_number": "850-567-1296",
            "fax_number": "904-636-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETARY",
        "first_name": "CHARLENE",
        "middle_name": "HANSEN",
        "credential": "RPH CPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 16641",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "FL",
            "license": "PU 5097",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST",
            "identifier": "12455",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSULTANT PHARMACIST",
            "identifier": "PU 5097",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST",
            "identifier": "9241",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST",
            "identifier": "PS 16641",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.