Individual provider Active NPI

Jaclyn Bourgeois Lapinski, PHARM D

  • Pharmacist
  • Melbourne, FL
National Provider Identifier
1780912998
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
46781 Issued in TX
Practice address
1350 N Wickham Rd
Melbourne, FL 32935-8945
Phone
(321) 254-5507
NPI assigned
Nov 27, 2009
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 46781 TX Primary

Addresses

Primary practice location

1350 N Wickham Rd
Melbourne, FL 32935-8945

Mailing address

1350 N Wickham Rd
Melbourne, FL 32935-8945
Phone (321) 254-5507

Other practice location 1

18535 Champion Forest Dr
Spring, TX 77379-3991
Phone (281) 370-4961

Other practice location 2

530 W Little York Rd
Houston, TX 77091-2422
Phone (281) 448-6364

Other names 1

  • Jaclyn Clare Bourgeois Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Sep 1, 2019 Accepting new patients
Walgreen Co PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1259280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1780912998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358945",
            "telephone_number": "321-254-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358945",
            "telephone_number": "321-254-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18535 Champion Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773793991",
            "country_code": "US",
            "telephone_number": "281-370-4961",
            "fax_number": "281-370-1927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 W Little York Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770912422",
            "country_code": "US",
            "telephone_number": "281-448-6364",
            "fax_number": "281-448-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAPINSKI",
        "first_name": "JACLYN",
        "middle_name": "BOURGEOIS",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-27",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "46781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "BOURGEOIS",
            "middle_name": "CLARE",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.