Jill Christine Fernandez, RPH
Individual provider Active NPI Pharmacist · Neptune Beach, FL
NPI 1992085476 · NPPES record last updated Aug 28, 2011
Key facts
- NPI
- 1992085476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS30723 (FL)
- Practice address
- 406 Atlantic Blvd
Neptune Beach, FL 32266-4022 - Phone
- (904) 247-1953
- Fax
- (904) 247-9390
- NPI assigned
- Aug 28, 2011
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS30723 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS30723 | FL | Yes |
Addresses
Primary practice location
406 Atlantic Blvd
Neptune Beach, FL 32266-4022
Mailing address
406 Atlantic Blvd
Neptune Beach, FL 32266-4022
Phone (904) 247-1953
Other providers in Neptune Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2011. 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.