Jacilyn Anne Basle, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

056061 Issued in NY

Practice address

1300 Ulster Ave
Suite 227
Kingston, NY 12401-1501

Phone

(845) 336-6030

Fax

(845) 336-6030

NPI assigned

Aug 22, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1033499033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ULSTER AVE",
            "address_2": "SUITE 227",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011501",
            "telephone_number": "845-336-6030",
            "fax_number": "845-336-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ULSTER AVE",
            "address_2": "SUITE 227",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124011501",
            "telephone_number": "845-336-6030",
            "fax_number": "845-336-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASLE",
        "first_name": "JACILYN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "056061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Barr, LMSW
• Bruce Barrack, LCSW
• Geraldine Merola Barton, PH.D.
• Heather Lynn Barton, L.C.S.W.
• Joseph B Basile, MD PC
• Jenny P. Bates, LCSWR
• Kelly Bates, LPN
• Carolyn Celeste Baxter, L.P.N
• Kerry Baxter, LCSW
• Nicole A Beaver

• Pharmacist in Kingston, NY
• Providers in Kingston, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.