MEDICARE: DR. RODJSYNE JONES 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	PS56730	FL

General Provider Information

NPI Number	:	1497384085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODJSYNE JONES PHARMD

Provider Business Mailing Address
First Line	:	6304 MARKSTOWN DR APT D
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-9377
Country	:	US
Telephone Number	:	813-965-0411
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 EAGLES LANDING DR
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33810-2999
Country	:	US
Telephone Number	:	854-748-2663
Fax Number	:

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

Provider Enumeration Date	:	04/06/2020
Last Update Date	:	04/06/2020

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