Individual provider Active NPI

Jacqueline Lacey Nash, PHARMD

  • Pharmacist
  • Auburn, AL
National Provider Identifier
1578128302
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16523 Issued in AL
Practice address
1550 Pumphrey Ave
Auburn, AL 36832-4302
Phone
(334) 466-3057
Fax
(866) 223-7847
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16523 AL Primary

Addresses

Primary practice location

1550 Pumphrey Ave
Auburn, AL 36832-4302

Mailing address

1550 Pumphrey Ave
Auburn, AL 36832-4302

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
16523ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Palogic Solutions, LLC CurrentSince Feb 7, 2021 Accepting new patients

Locations

1550 Pumphrey Ave
Auburn, AL 36832
Phone (334) 466-3000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1578128302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 PUMPHREY AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368324302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 PUMPHREY AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368324302",
            "telephone_number": "334-466-3057",
            "fax_number": "866-223-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "JACQUELINE",
        "middle_name": "LACEY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "16523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.