Provider Demographics
NPI:1851638647
Name:GRIFFITHS, JENELLE KERISA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JENELLE
Middle Name:KERISA
Last Name:GRIFFITHS
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 1:12850 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2007
Mailing Address - Country:US
Mailing Address - Phone:305-892-7094
Mailing Address - Fax:305-892-7097
Practice Address - Street 1:8900 N KENDALL DR STE 2N110
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2118
Practice Address - Country:US
Practice Address - Phone:786-527-8200
Practice Address - Fax:305-279-7068
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46981183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist