Jacquelyn Renae Travers, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

14727 Issued in OK

Practice address

1122 NE 13TH St # 4403
Oklahoma City, OK 73117-1039

Phone

(405) 388-5119

NPI assigned

Jan 13, 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

Other identifiers 1

Other names 1

• Jacquelyn Renae Pearse Former name

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.

• Clinic Pharmacy Inc

  dba Clinic Pharmacy

  • Community/Retail Pharmacy
  • Edmond, OK
  • NPI 1982742979
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1093086654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SPARROW HAWK",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033174",
            "telephone_number": "405-388-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 NE 13TH ST # 4403",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171039",
            "telephone_number": "405-388-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERS",
        "first_name": "JACQUELYN",
        "middle_name": "RENAE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OK",
            "license": "14727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "164525",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "PEARSE",
            "middle_name": "RENAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Transitions Inc.
• Transitions, Inc.
• Transitions, Inc.
• Maria del Carmen Trapp, PHD
• Richard P Trautman, MD
• Travis Medical Sales Corporation
• Brianna Travis, OTR/L
• Gabrielle Nicole Travis
• Brett David Traxler, DO
• Destyni Nicole Trayler, MA, LPC

• Pharmacotherapy Pharmacist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pharmacotherapy Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.