Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710350293 Individual Practitioner Female Practitioner

Dr. Stephanie Nicole Gofourth , PharmD

Pharmacist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Gofourth, PharmD is a registered healthcare professional specializing in Pharmacist in Jacksonville, FL. Practice services are available at 1190 DUNN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1190 Dunn Ave

Jacksonville, FL 322184832

Telephone 9047514346
Associated Practice Facility / Clinic
🏢 Holiday Cvs Llc Facility NPI 1639273527

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1053 Specialists

Practicing in Jacksonville, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-01
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL 50956

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License CA 72618

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1033715644

Doctor of Pharmacy (Pharm.D.)

NPI 1316651318

Doctor of Pharmacy (Pharm.D.)

NPI 1356868251
NPI 1437755030

Registered Pharmacist

Abigail Jarvis

Pharmacist

NPI 1770138356
NPI 1851997258

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 01, 2020

Registered at 1190 DUNN AVE, JACKSONVILLE, FL 322184832 (Tel: 9047514346)

📍
Updated Business Mailing Address December 01, 2020

Registered at 907 8TH AVE N, JACKSONVILLE BEACH, FL 322504639 (Tel: 9106192744)

👤
Provider Name / Credentials Updated December 01, 2020

Recorded as STEPHANIE GOFOURTH, PHARMD

NPI Profile Active November 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2015

Registered at 1193 ADMIRAL CALLAGHAN LN, VALLEJO, CA 94591 (Tel: 7075520496)

📍
Updated Business Mailing Address November 05, 2015

Registered at 161 N CIVIC DR APT 442, WALNUT CREEK, CA 945963921 (Tel: 9106192744)

👤
Provider Name / Credentials Updated November 05, 2015

Recorded as STEPHANIE BROWN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2015

Pharmacist (License #72618 in CA)

🟢
Initial NPI Registration & Enumeration November 05, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710350293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2015
Last Update: December 01, 2020
Sole Proprietor: Yes

Mailing Address

907 8th Ave N

Jacksonville Beach, FL 322504639

Phone: 9106192744

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.