KELLY LYNNE BIASTRE, PharmD, CPh — NPI 1952991770 (Licensed & Credentialed Pharmacist, Pharmacotherapy in JACKSONVILLE, FL)

CMS-1500 Box 24J / 33a • NPI

1952991770

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1835P1200X

Licensed & Credentialed Pharmacist, Pharmacotherapy

Box 32 Service Location & ZIP+4

800 PRUDENTIAL DR, JACKSONVILLE, FL, 32207-8202

✓ 9-Digit EDI 837 ZIP+4 (32207-8202)

Practice Phone & Referral Fax

(904) 202-9399

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1952991770 (KELLY LYNNE BIASTRE, PharmD, CPh) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1952991770` (NPI-1 Individual Practitioner)
Provider / Legal Name	KELLY LYNNE BIASTRE, PharmD, CPh
Plain-English Specialty	Licensed & Credentialed Pharmacist, Pharmacotherapy NUCC Code: `1835P1200X` (Pharmacist, Pharmacotherapy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	800 PRUDENTIAL DR, JACKSONVILLE, FL, 32207-8202
Practice Telephone / Fax	Tel: (904) 202-9399
Administrative Mailing Address	2170 HAWKCREST DR E, ST JOHNS, FL, 32259-2902
Enumeration & Last Sync	Enumerated: 2021-01-25 \| CMS Record Updated: 2021-01-25

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

800 PRUDENTIAL DR, JACKSONVILLE, FL, 32207-8202

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Plain-English Taxonomy & CMS Crosswalk (1835P1200X)

What Does Taxonomy Code 1835P1200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835P1200X translates to:
"Licensed & Credentialed Pharmacist, Pharmacotherapy"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacist, Pharmacotherapy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KELLY LYNNE BIASTRE, PharmD, CPh)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1835P1200X` — Pharmacist, Pharmacotherapy Plain English: Licensed & Credentialed Pharmacist, Pharmacotherapy	State: FL \| License: `PS23676` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KELLY LYNNE BIASTRE, PharmD, CPh (NPI #1952991770)