Jacquelyn Elaine Stevenson, PHARM-D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH 025013 Issued in GA

Practice address

2103 Veterans Blvd Ste 2
Dublin, GA 31021-7531

Phone

(813) 504-1574

NPI assigned

Sep 15, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1194126649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 DEER CROSSING PT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302368011",
            "telephone_number": "813-504-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 VETERANS BLVD STE 2",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310217531",
            "telephone_number": "813-504-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JACQUELYN",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PHARM-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH 025013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Stanley, LPN
• Calvin Stephens, LPC
• Cayce N. Sterling, RN
• Deborah Sterling
• Lauren Stevens, OTR/L
• Tracey Stewart, PHARM D
• Fred Stinson III
• Aja Stokes, RD
• Lisa Marie Strange, LPN
• April Rae Stratford, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.