IndividualActive
Julian Whitely-Jackson
NPI 1013627769 · Pharmacist · Wilton Manors, FL
Provider details
- NPI number
- 1013627769
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PS65186 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731
Phone: (954) 233-2121
Approximate (ZIP-level) locationGet directions
Mailing address
871 W Oakland Park Blvd
Wilton Manors, FL 33311-1731
Registry dates
- Enumerated
- 2022-12-02
- Last updated
- 2022-12-02
- Certified
- 2022-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.