DR. JENNIFER JORDAN TILLIS PHARMD - NPI 1023387966

Q: What is Jennifer Tillis's NPI number?

The NPI number for Jennifer Tillis is 1023387966. It was assigned to this individual provider in the NPPES registry on December 21, 2011.

Q: What is Jennifer Tillis's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Tillis was last updated on December 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jennifer Jordan Tillis Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER JORDAN TILLIS PHARMD (NPI 1023387966) is an individual pharmacist in Orange Park, Florida, licensed in Florida (PS34550) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1023387966

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameDR. JENNIFER JORDAN TILLISCredential: PHARMD

Location Address609 KINGSLEY AVEOrange Park, FL 32073-5443

Mailing Address2862 Admirals Walk Dr WOrange Park, FL 32073-6131

Phone(904) 213-8083

Sole ProprietorNo

Enumeration DateDecember 21, 2011

Last NPPES UpdateDecember 23, 2011

✔ NPI 1023387966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

Licenses✔ Licensed in FL · PS34550✔ Licensed in KY · 011932✔ Licensed in WA · PH53302

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

609 KINGSLEY AVE, Orange Park, FL 32073

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMBER A AHMED PHARM. D.

Pharmacist