Jackie Terry, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

6346089 Issued in UT

Practice address

3270 S 1300 E
SLC, UT 84106-3099

Phone

(801) 487-5461

NPI assigned

Aug 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacquelyn Pensel Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Harmon City Inc

  • Community/Retail Pharmacy
  • Salt Lake City, UT
  • NPI 1902819832
  NPD
• Harmon City Inc

  • Community/Retail Pharmacy
  • South Jordan, UT
  • NPI 1740940329
  NPD (past)

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1982331161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 S 1300 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841063099",
            "telephone_number": "801-487-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 S 1300 E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841063099",
            "telephone_number": "801-487-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JACKIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "6346089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOPL",
            "identifier": "6346089",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pharmacy",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3270 S 1300 E",
            "city": "Slc",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841063099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "PENSEL",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Taylor
• Isabella Oscar Hedwig Tcaciuc, M.D.
• Hayle Teal, RBT
• Tasha Teal, RBT
• Kelsey Marie Teegen
• Russell Terry
• The Athlete Within
• The Coventry
• The Lift Clinic, LLC
• Deborah Sue Thomas, PT

• Pharmacist in SLC, UT
• Providers in SLC, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.