Jackie Lyn David Velasco, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

65167 Issued in CA

Practice address

1220 Broadway
Placerville, CA 95667-5806

Phone

(530) 626-5501

Fax

(530) 626-6147

NPI assigned

Jul 28, 2012

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

Registered Pharmacist

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.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Placerville, CA
  • NPI 1053421826
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1343433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343433600000",
    "number": "1083960975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 PACIFIC ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675631",
            "telephone_number": "916-868-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BROADWAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675806",
            "telephone_number": "530-626-5501",
            "fax_number": "530-626-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "JACKIE LYN",
        "middle_name": "DAVID",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-28",
        "last_updated": "2012-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "65167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Lynne Vanwarmerdam, RN
• Christine Varner
• Scott Anthony Vasconcellos, M.D.
• Dora E Vaughn, MT
• Sheila M Veith
• Veronica Velasquez-Morfin, M.D.
• Vera Dooley, D.D.S., Inc.
• Lise Ann Vernasco, L.AC., DIPL.O.M.
• Victor R Sucheski DPM
• Lucille Goulart Villalobos, MASTERS HEALTH ADMIN

• Pharmacist in Placerville, CA
• Providers in Placerville, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2012; 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.