MRS. JACQUELINE MARIE ROBERTS (NPI# 1386962405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386962405 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE MARIE ROBERTS |
| Credential | RPH, PHARMD |
| Practice Address |
67 Old Farms Rd South Glastonbury CT 06073-3712 |
| Practice Telephone | 8606332012 |
| Mailing Telephone | 8606332012 |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 23140 | MA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 0008290 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013410786 | Jacqueline Rose Roberts | Behavior Technician | 1901 Royal Oaks Dr Ste 201, Sacramento, CA 95815-4235 | 2018-03-08 |
| 1871947440 | Jacqueline Kelly Roberts | Pediatrics | 8414 Naab Rd, Indianapolis, IN 46260 | 2016-04-20 |
| 1922341536 | Jacqueline Lauer Roberts | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Rabb-2, Boston, MA 02215-5400 | 2013-04-02 |
| 1699858746 | Jacqueline Rose Roberts | Social Worker | 3076a Remsen Rd, Medina, OH 44256-9225 | 2006-10-23 |
| 1306870795 | Jacqueline Roberts | Dietitian, Registered | 555 N Duke St, Lancaster, PA 17602-2250 | 2006-07-10 |
| Street Address |
67 OLD FARMS RD |
| City | SOUTH GLASTONBURY |
| State | CT |
| Zip Code | 06073-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689972119 | Abbe Miller | Counselor | 891 South Main Street, South Glastonbury, CT 06073 | 2011-03-08 |
| 1972701522 | Erica Lauren Janson | Psychologist | 931 Main Street Suite 2, Glastonbury, CT 06073 | 2007-07-05 |
| 1437351624 | Maynard Laurier Marquis Jr. | Psychiatry & Neurology | 919 Chestnut Hill Road, South Glastonbury, CT 06073 | 2007-06-01 |
| 1831241124 | Catherine Margaret Morrell | Psychologist | 891 Main Street, Office C, South Glastonbury, CT 06073 | 2007-01-17 |
| 1336213776 | Robert S. Henderson | Counselor | 16 High St., South Glastonbury, CT 06073 | 2006-11-18 |
| 1194758755 | Simone M Dion | Counselor | 891 Main Street, D, S. Glastonbury, CT 06073 | 2006-07-08 |
| 1770984478 | Catherine M. Morrell, Psyd., Licensed Clinical Psychologist, LLC | Psychologist | 891 Main Street, South Glastonbury, CT 06073 | 2014-09-12 |
| 1689091308 | Jenifer L Gietek Lcsw LLC | Community/Behavioral Health | 891 Main Street, 2nd Floor Office D, South Glastonbury, CT 06073 | 2014-03-19 |
| 1033310511 | Suzanne Nolan | Counselor | 16 High St., South Glastonbury, CT 06073 | 2007-05-30 |
| 1912039132 | The Caring Community of Connecticut, Inc. | Intermediate Care Facility, Mentally Retarded | 255 Tryon St, South Glastonbury, CT 06073-2024 | 2007-03-12 |
| Find all providers in zip 06073 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911966 | Brittany Mary Travis | Pharmacist | 444 Center St # 117, Manchester, CT 06040-3926 | 2020-10-29 |
| 1306445036 | Lauren Sutyla Zeni | Pharmacist | 43 Parkwood Rd, Trumbull, CT 06611-3230 | 2020-10-23 |
| 1205434560 | Jessica Mcallister | Pharmacist | 23a Killingworth Rd, Higganum, CT 06441-4242 | 2020-10-09 |
| 1003420340 | Katie Ann Laskin | Pharmacist | 100 Trap Falls Road Ext, Shelton, CT 06484-4646 | 2020-09-03 |
| 1952912784 | Michael Joseph Vessicchio | Pharmacist | 645 Foxon Rd, East Haven, CT 06513-1951 | 2020-08-14 |
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1992323885 | Anjali Patel | Pharmacist | 1 W Ridge Dr, Rocky Hill, CT 06067-1744 | 2020-07-08 |
| 1124646922 | Rebecca R Lamore | Pharmacist | 100 Retreat Ave Ste 102b, Hartford, CT 06106-2528 | 2020-07-08 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1215554894 | Elizabeth Ejimnkeonye Chime-udeh | Pharmacist | 48 Arlen Way, West Hartford, CT 06117-1106 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH GLASTONBURY |
| Zip Code | 06073 |
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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.