DR. JACQUELINE FIELDS HACKNEY (NPI# 1114174406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114174406 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE FIELDS HACKNEY |
| Credential | PHARMD |
| Practice Address |
495 E. Main St. Lebanon VA 24266 |
| Mailing Address |
Po Box 2377 Lebanon VA 24266-2377 |
| Practice Telephone | 2768893700 |
| Mailing Telephone | 2768893700 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0202208532 | VA | Pharmacy Service Providers |
| Street Address |
495 E. MAIN ST. |
| City | LEBANON |
| State | VA |
| Zip Code | 24266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801953245 | C-health PC | Preferred Provider Organization | 495 E. Main St., Lebanon, VA 24266 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008397 | Amanda Jackson | Pharmacist | 1418a W Main St Ste A, Lebanon, TN 37087-3114 | 2020-03-13 |
| 1033407838 | Heather Spoonhower | Pharmacist | 1515 Plaza Apartments, Lebanon, PA 17042-7369 | 2011-07-13 |
| 1598378424 | Kelcy Henrique | Pharmacist | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-08-29 |
| 1518578731 | James Adam Goss | Pharmacist | 705 E Main St, Lebanon, KY 40033-1701 | 2020-08-11 |
| 1902427883 | Lorena Rose Diguiseppe | Pharmacist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2020-05-01 |
| 1417596362 | Jasmin Valentin | Pharmacist | 1427 W Baddour Pkwy Ste B, Lebanon, TN 37087-3062 | 2019-12-24 |
| 1417267097 | Chelsea Renee Fitzgerald | Pharmacist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2010-10-15 |
| 1467780536 | Susan Monica Sincavage | Pharmacist | 1700 S Lincoln Ave, Pharmacy (719), Lebanon, PA 17042-7529 | 2009-11-30 |
| 1780912196 | Mathew Mckinley Armstrong | Pharmacist | 1700 S Lincoln Ave, Pharmacy Department (719), Lebanon, PA 17042-7529 | 2009-11-23 |
| 1013114685 | Charles Eddie Waters | Pharmacist | 1411 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2007-06-28 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.