Renee Jacquemin

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH.03230238-2 Issued in OH

Practice address

1250 S Washington St
Pharmacy Dept
Van Wert, OH 45891-2551

Phone

(419) 238-8625

NPI assigned

Jan 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1205226503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 OLDTOWN RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458228360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S WASHINGTON ST",
            "address_2": "PHARMACY DEPT",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912551",
            "telephone_number": "419-238-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUEMIN",
        "first_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26023688A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "RPH.03230238-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Nicole Howell, CNP
• Jerica L Huebner
• Drake Eliot Hughes, D.C.
• Island Medical Van Wert LLC
• Jesse Rae Jackson, FNP-C
• Scott William Jarvis, M.D.
• Jeffery-Mohr Dentistry, Inc.
• Jessica Ann Jeffery-Mohr, D.D.S.
• Carl Ray Jeffery, D.D.S.
• Maci Jenkins

• Pharmacist in Van Wert, OH
• Providers in Van Wert, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.