Jacqueline Susanne Hurlbut, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

13059 Issued in NC

Practice address

3633 Clemmons Rd
Clemmons, NC 27012-8725

Phone

(335) 293-1395

Fax

(336) 293-1394

NPI assigned

Jun 16, 2011

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 2

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

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
  • Salisbury, NC
  • NPI 1568477669
  NPD
• Medexpress Pharmacy, LTD.

  • Pharmacy
  • Salisbury, NC
  • NPI 1982709309
  NPD (past)
• Salisbury Pharmacy Inc

  • Community/Retail Pharmacy
  • Salisbury, NC
  • NPI 1174601470

  Pharmacist

  NPD (past)
• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Clemmons, NC
  • NPI 1477932937
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1154616308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128725",
            "telephone_number": "336-293-1395",
            "fax_number": "336-293-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128725",
            "telephone_number": "335-293-1395",
            "fax_number": "336-293-1394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Jake Alexander Blvd W",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281471200",
            "country_code": "US",
            "telephone_number": "704-630-0738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLBUT",
        "first_name": "JACQUELINE",
        "middle_name": "SUSANNE",
        "name_prefix": "Ms.",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "13059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1154616308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY LICENSE NUMBER",
            "identifier": "13059",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Hoyt
• Jennifer Rhoads Hsieh, PA-C
• Maria Hubbard, SLP
• Richard Eric Huettemann Jr., MD
• Jennifer Hunter, D.C.
• Cory William Hustad, P.T., ATC, MBA
• Ryan Kavon Hutchings, LMFT
• Joy Ijuaka
• Tenijah Ingram
• Inhale Counseling PLLC

• Pharmacist in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.