Jamie Jacquez

Primary specialty

PharmacistTaxonomy code 183500000X

License

55041 Issued in CA

Practice address

4601 Dale Rd
Main Outpatient Pharmacy
Modesto, CA 95356-9718

Phone

(209) 735-6343

NPI assigned

Mar 31, 2017

Last updated

Mar 31, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1558893396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 DALE RD",
            "address_2": "MAIN OUTPATIENT PHARMACY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 DALE RD",
            "address_2": "MAIN OUTPATIENT PHARMACY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569718",
            "telephone_number": "209-735-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUEZ",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duncan James Jacobson, DO
• Ernie N Jacobson
• James Edwin Jacobson, D.D.S.
• Jacqueline Parker
• Teresa W. Jacques, MD
• Yolanda Jacquez
• Rhea Jadhav
• Nickey Jafari, MD MPH
• Syed Zeeshan Abid Jafri, M.D.
• Rashid Ahmad Jahangiri, M.D.

• Pharmacist in Modesto, CA
• Providers in Modesto, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.