Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1366904534 Deactivated / Inactive NPI Female Practitioner

Dr. Jennifer Lynn Wolack , PharmD

Pharmacist • Melbourne, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jennifer Wolack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 04, 2019
NPI Deactivation Date March 15, 2023
Total Practice Duration ~4 Years of Practice (2019 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Wolack, PharmD was a registered Pharmacist practicing in Melbourne, FL. Throughout an active medical career spanning 4 years, Dr. Wolack provided care at the practice location at 3550 S BABCOCK ST until profile deactivation on 2023-03-15.

Practice Location & Contact Primary Location

Practice Address

3550 S Babcock St

Melbourne, FL 329018204

Telephone 3217238830
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1306863600

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Melbourne, FL

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

Practicing in Melbourne, 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS51958

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

2 Associated Practitioners
NPI 1477402378

Doctor of Pharmacy (Pharm.D.)

NPI 1821565912

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 15, 2023

Record deactivated on March 15, 2023

NPI Profile Active April 04, 2019

NPI status registered as active in NPPES database

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Updated Practice Location April 04, 2019

Registered at 3550 S BABCOCK ST, MELBOURNE, FL 329018204 (Tel: 3217238830)

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Updated Business Mailing Address April 04, 2019

Registered at 1119 WHITE OAK CIR, MELBOURNE, FL 329347286 (Tel: 3212595312)

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Provider Name / Credentials Updated April 04, 2019

Recorded as JENNIFER WOLACK, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2019

Pharmacist (License #PS51958 in FL)

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Initial NPI Registration & Enumeration April 04, 2019

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: 1366904534
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2019
Last Update: April 04, 2019
Deactivation Date: March 15, 2023

Mailing Address

1119 White Oak Cir

Melbourne, FL 329347286

Phone: 3212595312

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.