Healthcare Provider Details

I. General information

NPI: 1750207940
Provider Name (Legal Business Name): JONATHAN VELEZ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3565 DR MLK JR BLVD
NEW BERN NC
28562
US

IV. Provider business mailing address

1201 LONGVIEW DR
NEW BERN NC
28562-2427
US

V. Phone/Fax

Practice location:
  • Phone: 252-497-2118
  • Fax: 252-497-2130
Mailing address:
  • Phone: 252-526-7179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number33978
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: