Provider Demographics
NPI:1851050900
Name:ESPINDA, JAZMINE ANN PUAOKEALOHA (PHARMD)
Entity type:Individual
Prefix:
First Name:JAZMINE
Middle Name:ANN PUAOKEALOHA
Last Name:ESPINDA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3196A KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2432
Mailing Address - Country:US
Mailing Address - Phone:201-402-9111
Mailing Address - Fax:
Practice Address - Street 1:3196 JOHN F. KENNEDY BLVD.
Practice Address - Street 2:A
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087
Practice Address - Country:US
Practice Address - Phone:201-402-9111
Practice Address - Fax:201-402-9110
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04183600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist