Active NPI
Jennifer Gonzalez Aquino, PHARM.D.
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1992057681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63753
- Practice address
- 2005 Knight Lane Attn: Medical Staff Services BLDG H
Navy Medicine Support Command
Jacksonville, FL 32212-0140 - Phone
- (202) 762-3194
- NPI assigned
- Oct 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63753 | CA | Primary |
| Pharmacist | 183500000X | PS45744 | FL |
Addresses
Primary practice location
2005 Knight Lane Attn: Medical Staff Services BLDG H
Navy Medicine Support Command
Jacksonville, FL 32212-0140
Mailing address
11697 Lindly CT
San Diego, CA 92131-3606
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 |
|---|---|---|---|
| 63753 | CA | MD | Clinical Social Worker |
| PS45744 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1992057681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11697 LINDLY CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 KNIGHT LANE ATTN: MEDICAL STAFF SERVICES BLDG H",
"address_2": "NAVY MEDICINE SUPPORT COMMAND",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322120140",
"telephone_number": "202-762-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "JENNIFER",
"middle_name": "GONZALEZ",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "63753",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS45744",
"primary": false
}
],
"identifiers": [],
"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 Oct 5, 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.