Jacqueline Carole Vander Velden

Primary specialty

PharmacistTaxonomy code 183500000X

License

2601475A Issued in IN

Practice address

301 N Michigan St
Plymouth, IN 46563-1735

Phone

(574) 936-3167

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730192188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17375 2B RD",
            "city": "WALKERTON",
            "state": "IN",
            "postal_code": "465748620",
            "telephone_number": "574-586-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MICHIGAN ST",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465631735",
            "telephone_number": "574-936-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER VELDEN",
        "first_name": "JACQUELINE",
        "middle_name": "CAROLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "2601475A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla M Troyer, FNP
• Trusted Counseling LLC
• Brandi Trusty, RBT
• Jillorna Ann Uceny, MSW, ACSW, LCSW, BCD
• Zubair Ul Haq, M.B.B.S., M.D.
• Zachary Rene Vandevoorde, DMD
• Samuel B Vanlandingham, M.D.
• Dulce Vargas
• Katrina Jean Vargas, NP
• Sarina Vice

• Pharmacist in Plymouth, IN
• Providers in Plymouth, IN by specialty
• Pharmacist in Indiana

• 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.