Mrs. Jacqueline M Roberts, RPH, PHARMD
Pharmacist in South Glastonbury, Connecticut
1386962405- Practice location
- 67 Old Farms RD, South Glastonbury, CT 06073-3712
- Phone
- 860-633-2012
- Fax
- —
- Last updated
- May 13, 2010
Jacqueline Marie Roberts is a Pharmacist based in South Glastonbury, CT. Jacqueline Marie Roberts practices in South Glastonbury, CT and has the professional credentials of RPH, PHARMD. The NPI Number for Jacqueline Marie Roberts is 1386962405 and holds a License No. 0008290 (CT). The current practice location address for Jacqueline Marie Roberts is 67 Old Farms RD, South Glastonbury, CT 06073-3712 and can be reached out via phone at 860-633-2012.
Provider Profile Details
- NPI Number
- 1386962405
- Provider Name
- Jacqueline Marie Roberts
- Credential
- RPH, PHARMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 67 Old Farms RD, South Glastonbury, CT 06073-3712
- Phone Number
- 860-633-2012
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 13, 2010
- Last Update Date
- May 13, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 67 Old Farms RD
South Glastonbury, CT 06073-3712 - State
- Connecticut
- Zip
- 06073-3712
- Phone Number
- 860-633-2012
Provider Business Mailing Address Details
- Address
- 67 Old Farms RD
South Glastonbury, CT 06073-3712 - City
- South Glastonbury
- State
- CT
- Zip
- 06073-3712
- Phone Number
- 860-633-2012
License Information
- License Number (1)
- 0008290
- License State (1)
- CT
- Taxonomy (1)
- Pharmacist · 183500000X · Primary
- License Number (2)
- 23140
- License State (2)
- MA
- Taxonomy (2)
- Pharmacist · 183500000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Jacqueline M Roberts, RPH, PHARMD?
The NPI number of Mrs. Jacqueline M Roberts, RPH, PHARMD is 1386962405. It was assigned on May 13, 2010 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jacqueline M Roberts, RPH, PHARMD?
Mrs. Jacqueline M Roberts, RPH, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in CT under license number 0008290.
Where does Mrs. Jacqueline M Roberts, RPH, PHARMD practice?
The practice location is 67 Old Farms RD, South Glastonbury, CT 06073-3712. The office can be reached at 860-633-2012 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386962405 directly on the NPPES registry website.