MEDICARE: JENNIFER ALFONSO PADILLA PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS70036	FL

General Provider Information

NPI Number	:	1114883485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ALFONSO PADILLA PHARMD

Provider Business Mailing Address
First Line	:	3581 ALTIS CIR N UNIT 3202
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-6083
Country	:	US
Telephone Number	:	786-439-4993
Fax Number	:

Provider Business Practice Location Address
First Line	:	4410 W 16TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-7100
Country	:	US
Telephone Number	:	786-353-0085
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2025
Last Update Date	:	12/31/2025

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