Jacquelyn Rather Connally, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

50256 Issued in TX

Practice address

2906 Houston Hwy
Victoria, TX 77901-4681

Phone

(361) 576-5458

Fax

(361) 576-6738

NPI assigned

Oct 27, 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Victoria, TX
  • NPI 1508871690
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1063798684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 HOUSTON HWY",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014681",
            "telephone_number": "361-576-5458",
            "fax_number": "361-576-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 HOUSTON HWY",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014681",
            "telephone_number": "361-576-5458",
            "fax_number": "361-576-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNALLY",
        "first_name": "JACQUELYN",
        "middle_name": "RATHER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Health Centers of South Central Texas Inc
• Community Mother and Child Health Center
• Community Mother and Child Health Center
• Lauren Condra, BOARD CERTIFIED BEH
• Ana Mari Congdon, SLP
• Stuart Mellett Connell, M.D.
• Rebecca Marie Constantino, P.A.-C.
• Kelle Cook, FNP
• Theodore Denver Coonrod, M.D.
• Rebecca Ware Copeland, PA-C

• Pharmacist in Victoria, TX
• Providers in Victoria, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.