Michelle Yvonne Jacques, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH23051 Issued in MA

Practice address

970 Saint James Ave
Springfield, MA 01104-2800

Phone

(413) 737-6346

Fax

(413) 785-5850

NPI assigned

Dec 1, 2020

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 names 1

• Mrs. Michelle Yvonne Cranston Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1306441209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SANDY CT",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951792",
            "telephone_number": "401-279-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SAINT JAMES AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042800",
            "telephone_number": "413-737-6346",
            "fax_number": "413-785-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "MICHELLE",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH23051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Springfield",
            "affiliation": "N",
            "endpointDescription": "CVS Pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "970 Saint James Ave",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011042800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "CRANSTON",
            "middle_name": "YVONNE",
            "prefix": "MRS.",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne G Jacque, R.D.
• Emma Jacque
• Deborah B Jacques, A-GNP
• Jillianne Jacques
• Lisa Jacques, PHARMD
• Yamna Jadoon
• Leeor Moshe Jaffe, M.D.
• Kumael Jafri, MD
• Penny Jahsman
• Jumana Jaloudi, D.O.

• Pharmacist in Springfield, MA
• Providers in Springfield, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.