Individual provider Active NPI

Nicole Marie Delgado-Jaecks, PHARM D.

  • Pharmacist
  • Cary, NC
National Provider Identifier
1841339926
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19328 Issued in NC
Practice address
2010 Kildaire Farm Rd
Cary, NC 27518-6614
Phone
(919) 852-0749
NPI assigned
Feb 6, 2007
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS 41878 FL
Pharmacist 183500000X 5234 PR
Pharmacist 183500000X 19328 NC Primary

Addresses

Primary practice location

2010 Kildaire Farm Rd
Cary, NC 27518-6614

Mailing address

3137 Sentinel Ferry LN
Cary, NC 27519-7523
Phone (984) 296-8905

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
PS 41878FLMDPharmacist
19328NCMDPharmacist
5234PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1841339926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 SENTINEL FERRY LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275197523",
            "telephone_number": "984-296-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186614",
            "telephone_number": "919-852-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO-JAECKS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 41878",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "5234",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "19328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.