Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jake N Chulla

Individual provider Pharmacist · NPI 1477102192

Jake N Chulla is a Pharmacist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

5858 Atlantic Blvd
Jacksonville, FL 32207-2223
Phone: (904) 721-3410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS62872 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PSI38313 (FL)

Record details

NPI number1477102192
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 5, 2019
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021
Mailing address9823 Tapestry Park Cir Unit 503, Jacksonville, FL 32246-9239

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