JACQUATTA M SAMUELS
NPI 1124622139
Pharmacist in Orange Park, FL

Active since November 30, 2020
906 BLANDING BLVD, ORANGE PARK, FL 32065(904) 213-4444 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquatta M Samuels NPPES

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

JACQUATTA M SAMUELS (NPI 1124622139) is an individual pharmacist in Orange Park, Florida, licensed in Florida (PS53466) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1124622139
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJACQUATTA M SAMUELS
Location Address906 BLANDING BLVDOrange Park, FL 32065-6206
Mailing Address14320 Dovewind CtJacksonville, FL 32258-5537 · (904) 200-0214
Sole ProprietorYes
Enumeration DateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
NPI 1124622139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS53466
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.
906 BLANDING BLVD, Orange Park, FL 32065

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
906 BLANDING BLVD
ORANGE PARK, FL 32065
Nurse Practitioner (Family)
906 BLANDING BLVD
ORANGE PARK, FL 32065
Nurse Practitioner (Family)
906 BLANDING BLVD
ORANGE PARK, FL 32065
Nurse Practitioner (Family)
906 BLANDING BLVD
ORANGE PARK, FL 32065
Nurse Practitioner (Family)
906 BLANDING BLVD
ORANGE PARK, FL 32065
Pharmacy
906 BLANDING BLVD
ORANGE PARK, FL 32065
Nurse Practitioner (Family)
906 BLANDING BLVD
ORANGE PARK, FL 32065
Pharmacist
906 BLANDING BLVD
ORANGE PARK, FL 32065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquatta Samuels's NPI number?

The NPI number for Jacquatta Samuels is 1124622139. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Jacquatta Samuels located?

Jacquatta Samuels practices at 906 Blanding Blvd, Orange Park, FL 32065. The listed phone number is (904) 213-4444.

What is Jacquatta Samuels's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacquatta Samuels was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.