Jodie Lynne Acey, PHARM D
Individual provider Active NPI Pharmacist · Clarion, PA
NPI 1154723872 · NPPES record last updated Sep 24, 2014
Key facts
- NPI
- 1154723872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP045651L (PA)
- Practice address
- 112 Oak Ridge Dr
Clarion, PA 16214-1422 - Phone
- (724) 968-7805
- Fax
- (814) 227-2503
- NPI assigned
- Sep 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP045651L | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP045651L | PA | Yes |
Addresses
Primary practice location
112 Oak Ridge Dr
Clarion, PA 16214-1422
Mailing address
112 Oak Ridge Dr
Clarion, PA 16214-1422
Phone (724) 968-7805
Other providers in Clarion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.