JACLYN MARIE PERROTTA (NPI# 1699117812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699117812 |
| Entity Type | Individual |
| Full Name | JACLYN MARIE PERROTTA |
| Credential | PHARM.D |
| Practice Address |
11430 N Tryon St Charlotte NC 28262-0405 |
| Mailing Address |
3212 Eastover Ridge Dr Unit 714 Charlotte NC 28211-1466 |
| Practice Telephone | 7047173276 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 23611 | NC | Pharmacy Service Providers |
| Street Address |
11430 N TRYON ST |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-0405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306148903 | Brandy L Brensinger | Pharmacist | 11430 N Tryon St, Charlotte, NC 28262-0405 | 2010-12-02 |
| 1881113884 | Stephen Ako-nai | Pharmacist | 11430 N Tryon St, Charlotte, NC 28262-0405 | 2017-09-12 |
| 1356894190 | Kenneth Joseph Loeffler | Pharmacist | 11430 N Tryon St, Charlotte, NC 28262-0405 | 2016-07-28 |
| 1275901621 | Rebekah Stoner | Pharmacist | 11430 N Tryon St, Charlotte, NC 28262-0405 | 2015-09-02 |
| 1902215924 | Olesya Yaremko | Pharmacist | 11430 N Tryon St, Charlotte, NC 28262-0405 | 2014-08-04 |
| 1316378474 | Daniel Coffman | Pharmacist | 11430 N Tryon St, Charlotte, NC 28262-0405 | 2013-11-27 |
| 1376899559 | Jennifer Pham | Pharmacist | 11430 N Tryon St, Charlotte, NC 28262-0405 | 2012-07-25 |
| 1164705273 | Douglas Earl Duncan | Pharmacist | 11430 N Tryon St, Charlotte, NC 28262-0405 | 2011-09-25 |
| 1487932208 | Lindsay Eilene Faulkner | Pharmacist | 11430 N Tryon St, Charlotte, NC 28262-0405 | 2011-07-27 |
| 1386943538 | Judy Rickey Alvord | Pharmacist | 11430 N Tryon St, Charlotte, NC 28262-0405 | 2011-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| 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 |
|---|---|---|---|---|
| 1619576568 | Efthalia Retsios Rodriguez | Pharmacist | 7860 Rea Rd # 16466, Charlotte, NC 28277-6502 | 2020-10-21 |
| 1922614643 | Sharisse Berry | Pharmacist | 425 Sawyers Mill Rd Apt 306, Charlotte, NC 28262-1877 | 2020-09-17 |
| 1629688668 | Anu James | Pharmacist | 7005 Flying Scotsman Dr, Charlotte, NC 28213-5369 | 2020-08-05 |
| 1821608977 | Liza Carolina Schimmelfing | Pharmacist | 1300b East Blvd, Charlotte, NC 28203-5802 | 2020-08-04 |
| 1558986083 | Brooke Maag | Pharmacist | 12600 District South Dr Apt 2203, Charlotte, NC 28277-5209 | 2020-06-10 |
| 1508485707 | Mais Anis Humaideh | Pharmacist | 4521 Hamptonridge Dr Apt 207, Charlotte, NC 28210-1386 | 2020-04-09 |
| 1629603071 | Hind Al-bayati | Pharmacist | 9008 Woodbine Walk Rd Apt 7200, Charlotte, NC 28277-7004 | 2020-03-05 |
| 1659922219 | Dustin Thomas Roe | Pharmacist | 210 E Trade St Ste 186, Charlotte, NC 28202-2413 | 2019-09-25 |
| 1437718020 | Tiffany Kneuss | Pharmacist | 1021 Morehead Medical Dr Ste 70100, Charlotte, NC 28204-2990 | 2019-06-07 |
| 1104395029 | Christelle Pouani Kouemo | Pharmacist | 9816 Rocky Ford Club Rd, Charlotte, NC 28269-2860 | 2018-11-20 |
| Find all providers in CHARLOTTE | ||||
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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.