JAKE N CHULLA - NPI 1477102192 - Pharmacist in Jacksonville, FL

Q: What is Jake Chulla's NPI number?

The NPI number for Jake Chulla is 1477102192. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Q: What is Jake Chulla'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 Jake Chulla was last updated on August 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jake N Chulla NPPES

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

JAKE N CHULLA (NPI 1477102192) is an individual pharmacist in Jacksonville, Florida, licensed in Florida (PS62872) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1477102192

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameJAKE N CHULLA

Location Address5858 ATLANTIC BLVDJacksonville, FL 32207-2223

Mailing Address9823 Tapestry Park Cir Unit 503Jacksonville, FL 32246-9239 · (727) 953-0750

Phone(904) 721-3410

Sole ProprietorNo

Enumeration DateSeptember 5, 2019

Last NPPES UpdateAugust 9, 20212 updates tracked since enumeration

NPPES CertifiedAugust 9, 2021

✔ NPI 1477102192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in FL · PS62872

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License PSI38313 (FL)

5858 ATLANTIC BLVD, Jacksonville, FL 32207

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Other Providers at the Same Location NPPES 6

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

MEGAN MILLER PHARM D

Pharmacist