=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245183409
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAREN WORTH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/18/2026
-----------------------------------------------------
Last Update Date | 02/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8705 FORT CAROLINE RD
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32277-2911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-657-9090
-----------------------------------------------------
Fax | 904-657-9090
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8705 FORT CAROLINE RD
-----------------------------------------------------
City | JACKSONVILLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32277-2911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 904-657-9090
-----------------------------------------------------
Fax | 904-657-9090
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | PS30871
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------