Jaclyn Marie Carnahan

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

5303009757 Issued in MI

Practice address

8531 E Lansing Rd
Durand, MI 48429-1072

Phone

(989) 288-3101

Fax

(989) 288-0017

NPI assigned

Mar 16, 2022

Last updated

Mar 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04068

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)
• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 03312

  • Community/Retail Pharmacy
  • Durand, MI
  • NPI 1700995263
  NPD (past)

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1205584372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9671 HENDERSON RD",
            "city": "CORUNNA",
            "state": "MI",
            "postal_code": "488179793",
            "telephone_number": "989-413-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8531 E LANSING RD",
            "city": "DURAND",
            "state": "MI",
            "postal_code": "484291072",
            "telephone_number": "989-288-3101",
            "fax_number": "989-288-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNAHAN",
        "first_name": "JACLYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303009757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA",
            "identifier": "5303009757",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Brooke Ariss, FNP
• Leanne M Black
• Lea Brandon, LMT
• Burton Dental Center,PC
• Jason H Carlson, D.D.S.
• David Charles, DO
• Ingrid G Cole, P.T.
• Joadie M Demo, LPTA
• Jodi Diane Dobbs, RN
• Dobson Chiropractic Center PLLC

• Pharmacy Technician in Durand, MI
• Providers in Durand, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.