Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124622139 Individual Practitioner Female Practitioner

Jacquatta M Samuels

Pharmacist • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Jacquatta Samuels is a registered healthcare professional specializing in Pharmacist in Orange Park, FL. Practice services are available at 906 BLANDING BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

906 Blanding Blvd

Orange Park, FL 320656206

Telephone 9042134444
Associated Practice Facility / Clinic
🏢 Holiday Cvs Llc Facility NPI 1730283656

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Orange Park, FL

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

Practicing in Orange Park, 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: 2020-11-30
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS53466

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

3 Associated Practitioners
Melissa Karr

Nurse Practitioner - Family

NPI 1225371768
Vasiljana Kelly , FNP

Nurse Practitioner - Family

NPI 1417723164

Family Nurse Practitioner

Rhonna Clary , ARNP, FNP-BC

Nurse Practitioner - Family

NPI 1619396595

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2020

Registered at 906 BLANDING BLVD, ORANGE PARK, FL 320656206 (Tel: 9042134444)

📍
Updated Business Mailing Address November 30, 2020

Registered at 14320 DOVEWIND CT, JACKSONVILLE, FL 322585537 (Tel: 9042000214)

👤
Provider Name / Credentials Updated November 30, 2020

Recorded as JACQUATTA SAMUELS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2020

Pharmacist (License #PS53466 in FL)

🟢
Initial NPI Registration & Enumeration November 30, 2020

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: 1124622139
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2020
Last Update: November 30, 2020
Sole Proprietor: Yes

Mailing Address

14320 Dovewind Ct

Jacksonville, FL 322585537

Phone: 9042000214

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.