Jacqueline Marie Roberts, RPH, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0008290 Issued in CT

Practice address

67 Old Farms Rd
South Glastonbury, CT 06073-3712

Phone

(860) 633-2012

NPI assigned

May 13, 2010

Last updated

May 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1386962405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 OLD FARMS RD",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "060733712",
            "telephone_number": "860-633-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 OLD FARMS RD",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "060733712",
            "telephone_number": "860-633-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0008290",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "23140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Cronin Pizzoferrato, RD, CD-N
• Playful Development, LLC
• Erin Siobhan Prescott
• Quality Living Liaisons,LLC
• Linda Rimkunos, MD
• Lisa Sklover, LPC
• Stayhomept
• The Caring Community of Connecticut, Inc.
• Thrive Women's Wellness
• Danielle Tompkins, M.S., CCC-SLP

• Pharmacist in South Glastonbury, CT
• Providers in South Glastonbury, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.