Active NPI
Jacqueline Breland
- Pharmacist
- Ukiah, CA
National Provider Identifier
1831908029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 90521
- Practice address
- 1155 Airport Park Blvd
Ukiah, CA 95482-5998 - Phone
- (707) 468-0171
- NPI assigned
- Jan 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 90521 | CA | Primary |
Addresses
Primary practice location
1155 Airport Park Blvd
Ukiah, CA 95482-5998
Mailing address
7807 Star St
New Orleans, LA 70128-1737
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1831908029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7807 STAR ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701281737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 AIRPORT PARK BLVD",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825998",
"telephone_number": "707-468-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRELAND",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-02",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "90521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.