Eugene Robert Jackey Jr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

034489-1 Issued in NY

Practice address

1879 Altamont Ave
Schenectady, NY 12303-3851

Phone

(518) 357-4297

Fax

(518) 357-2749

NPI assigned

Nov 22, 2007

Sex

Male

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

Credentials

Registered Pharmacist

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.

• The Golub Corporation

  • Community/Retail Pharmacy
  • Schenectady, NY
  • NPI 1437262920
  NPD (past)
• Golub Corporation

  • Community/Retail Pharmacy
  • Burlington, VT
  • NPI 1083727002
  NPD (past)

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

{
    "created_epoch": "1195689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195689600000",
    "number": "1962683698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 ALTAMONT AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123033851",
            "telephone_number": "518-357-4297",
            "fax_number": "518-357-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 ALTAMONT AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123033851",
            "telephone_number": "518-357-4297",
            "fax_number": "518-357-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKEY",
        "first_name": "EUGENE",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-22",
        "last_updated": "2007-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "034489-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Ishkanian
• Azuka S Itabor, M.D.
• Ivan Hernandez MD PC
• Kathleen M. Ives-Kline, CCC-SLP
• J&a Hurley, Inc.
• Amelia Ellen Jackson, OT
• Diane Jackson
• Justin A Jackson
• Keimari Christine Jackson
• Thomas R Jackson, MD

• Pharmacist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.