Jessica Raven Callaghan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH027466 Issued in GA

Practice address

134 Venture LN
Statesville, NC 28625-2740

Phone

(704) 380-6134

NPI assigned

Jul 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 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

Practice roles

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.

• Publix North Carolina LP

  • Community/Retail Pharmacy
  • Statesville, NC
  • NPI 1033661764
  NPD (past)
• Publix North Carolina, LP

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1578360525
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1174562185
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1588048383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 VENTURE LN",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252740",
            "telephone_number": "704-380-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 VENTURE LN",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252740",
            "telephone_number": "704-380-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAGHAN",
        "first_name": "JESSICA",
        "middle_name": "RAVEN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "30105",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH027466",
            "identifier": "RPH027466",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Butz, AU.D
• C. Lee Bass, III, DDS, PA
• Joreca Alexandria Caldwell
• Lisa Diana Cale
• Jill Suzanne Calhoun, PA-C
• Marie Camp, QP
• Ana Campbell
• Donna Miller Campbell, R.N.
• Juntra Campbell
• Kimeshya L Campbell, LCSW-A

• Pharmacist in Statesville, NC
• Providers in Statesville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.