Individual provider Active NPI

Jacqueline Lenette Barrant, RPH

  • Pharmacist
  • Roslindale, MA
National Provider Identifier
1457574402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23206 Issued in MA
Practice address
4600 Washington St
Roslindale, MA 02131-4832
Phone
(617) 323-3823
Fax
(617) 323-1291
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23206 MA Primary

Addresses

Primary practice location

4600 Washington St
Roslindale, MA 02131-4832

Mailing address

52 Ellison Ave
Mattapan, MA 02126-2804
Phone (617) 298-1920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
23206MAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457574402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 ELLISON AVE",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021262804",
            "telephone_number": "617-298-1920",
            "fax_number": "617-298-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 WASHINGTON ST",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021314832",
            "telephone_number": "617-323-3823",
            "fax_number": "617-323-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRANT",
        "first_name": "JACQUELINE",
        "middle_name": "LENETTE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "23206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.