Jacqueline Bette Ducksworth, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S019442 Issued in AZ

Practice address

3290 Keith Bridge Rd
Cumming, GA 30041-3937

Phone

(770) 886-3202

Fax

(770) 886-3479

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Locations

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
  • Cumming, GA
  • NPI 1689861189
  NPD
• Walgreen Co

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

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1083963508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 KEITH BRIDGE RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300413937",
            "telephone_number": "770-886-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 KEITH BRIDGE RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300413937",
            "telephone_number": "770-886-3202",
            "fax_number": "770-886-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKSWORTH",
        "first_name": "JACQUELINE",
        "middle_name": "BETTE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S019442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "otherurl",
            "affiliation": "N",
            "address_1": "3290 Keith Bridge Rd",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300413937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amit K Dua, M.D.
• Anjali C Dua, M.D.
• Karen A Dubose, M.D.
• Danielle Ducharme
• James William Duckett III, MD
• Joseph W Ducksworth, DDS
• Lacey Amanda Duff, PTA
• Malcolm Paul Dulock, M.D.
• Lindsay Dunbar, LPC
• R Matthew Dunford, D.M.D.

• Pharmacist in Cumming, GA
• Providers in Cumming, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.