Jaclynne Rose Gowen, PHARMD, BCCP

Primary specialty

PharmacistTaxonomy code 183500000X

License

4242 Issued in NH

Practice address

789 Central Ave
Dover, NH 03820-2526

Phone

(603) 516-4265

NPI assigned

Dec 19, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1528654944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 SALMON FALLS RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038685920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-516-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWEN",
        "first_name": "JACLYNNE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "4242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "endpointDescription": "electronic health record system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "789 Central Ave",
            "city": "Dover",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038202526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emma Margaret Goodridge
• Halen Gori, MSW
• Susan R Gosselin, APRN
• Wayne C Gould, DPM
• Riley Laurel Goulet, LCSW
• Amber Skye Goyette
• Kristen Emma Goyette, RN
• Joseph M Graciano, MD
• Julianne P Graham, PA
• Granite State Counseling and Assessment, P.L.L.C.

• Pharmacist in Dover, NH
• Providers in Dover, NH by specialty
• Pharmacist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.