Active NPIIndividual providerSole proprietor

Carolyn M Jacques, PHARMD

Pharmacist in Augusta, Maine

NPI Number1396154092
Practice location
403 Water St, Augusta, ME 04330-4667
Fax
207-629-9407
Last updated
August 6, 2014

Carolyn Marie Jacques is a Pharmacist based in Augusta, ME. Carolyn Marie Jacques practices in Augusta, ME and has the professional credentials of PHARMD. The NPI Number for Carolyn Marie Jacques is 1396154092 and holds a License No. PR27860 (ME). The current practice location address for Carolyn Marie Jacques is 403 Water St, Augusta, ME 04330-4667 and can be reached out via phone at 207-629-9401 and via fax at 207-629-9407.

Provider Profile Details

NPI Number
1396154092
Provider Name
Carolyn Marie Jacques
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
403 Water St, Augusta, ME 04330-4667
Phone Number
207-629-9401
Fax Number
207-629-9407
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
August 6, 2014
Last Update Date
August 6, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
403 Water St
Augusta, ME 04330-4667
State
Maine
Zip
04330-4667
Phone Number
207-629-9401
Fax Number
207-629-9407
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
485 Webber Ave
Lewiston, ME 04240-4921
City
Lewiston
State
ME
Zip
04240-4921
Phone Number
207-240-7491

License Information

License Number
PR27860
License State
ME
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Carolyn M Jacques, PHARMD?

The NPI number of Carolyn M Jacques, PHARMD is 1396154092. It was assigned on August 6, 2014 and is currently active in the NPPES registry.

What is the specialty of Carolyn M Jacques, PHARMD?

Carolyn M Jacques, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in ME under license number PR27860.

Where does Carolyn M Jacques, PHARMD practice?

The practice location is 403 Water St, Augusta, ME 04330-4667. The office can be reached at 207-629-9401 (phone) or 207-629-9407 (fax).

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 1396154092 directly on the NPPES registry website.

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