Active NPI
Jessica Edgar, PHARMD
- Pharmacist
- Boynton Beach, FL
National Provider Identifier
1992490163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS64386
- Practice address
- 10075 S Jog Rd Ste 101
Boynton Beach, FL 33437-3532 - Phone
- (561) 408-0796
- Fax
- (561) 652-8653
- NPI assigned
- Apr 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | PS64386 | FL | Primary |
Addresses
Primary practice location
10075 S Jog Rd Ste 101
Boynton Beach, FL 33437-3532
Mailing address
10075 S Jog Rd Ste 101
Boynton Beach, FL 33437-3532
Phone (561) 408-0796
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 |
|---|---|---|---|
| PS64386 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1992490163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10075 S JOG RD STE 101",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373532",
"telephone_number": "561-408-0796",
"fax_number": "561-652-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10075 S JOG RD STE 101",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373532",
"telephone_number": "561-408-0796",
"fax_number": "561-652-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGAR",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-05",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS64386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.