IndividualActive
Gary Jenkins
NPI 1174860969 · Pharmacist · Port St Lucie, FL
Provider details
- NPI number
- 1174860969
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 24898 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1333 Nw Saint Lucie West Blvd
Port St Lucie, FL 34986-2140
Phone: (772) 340-4350
Fax: (772) 336-8963
Approximate (ZIP-level) locationGet directions
Mailing address
1333 Nw Saint Lucie West Blvd
Port St Lucie, FL 34986-2140
Registry dates
- Enumerated
- 2013-01-14
- Last updated
- 2013-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.