JACQUELINE KELLY BARRACLOUGH


Address: 250 N Arcadia Ave Apt 914, Tucson, AZ 85711-3027
Phone: 5202905891

JACQUELINE KELLY BARRACLOUGH (NPI# 1780935304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780935304
Entity Type Individual
Full Name JACQUELINE KELLY BARRACLOUGH
Practice Address 250 N Arcadia Ave Apt 914
Tucson
AZ 85711-3027
Practice Telephone 5202905891
Mailing Telephone 5202905891
Enumeration Date 2012-09-21
Last Update Date 2012-09-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
I0009313 AZ Pharmacy Service Providers

Office Location

Street Address 250 N ARCADIA AVE APT 914
City TUCSON
State AZ
Zip Code 85711-3027

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1124561477 Regina Maendler Behavioral Analyst 630 N. Craycroft Rd, Tucson, AZ 85711 2016-11-18
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023593126 Catherine Lee Pharmacist 220 W 6th Street Room B113, Tucson, AZ 85701 2018-09-25
1881962256 Ali Namazifard Pharmacist 5478 W Red Racer Dr, Tucson, AZ 85742-8363 2011-12-13
1962790899 Matthew R Mcculloch Pharmacist 1970 W Valencia Rd, Tucson, AZ 85746-6503 2011-07-12
1982862256 Ron Kaz Pharmacist 6121 E Oak St, Tucson, AZ 85711-4655 2008-05-23
1083679898 Eric Richard Van Hoesen Jr. Pharmacist 7395 S Houghton Rd, Suite 129, Tucson, AZ 85747-3304 2006-04-18
1144820705 William Carbonneau Pharmacist 7050 E Golf Links Rd, Tucson, AZ 85730-1000 2020-10-31
1023651759 Kara Herlihy Pharmacist 5301 E Grant Rd, Tucson, AZ 85712-2805 2019-10-25
1184198905 Ilan Chao Pharmacist 5301 E Grant Rd, Tucson, AZ 85712-2805 2019-01-15
1306327630 Andrea M Jones Pharmacist 3601 S 6th Ave, Tucson, AZ 85723-0001 2018-08-24
1023505302 Phillip Yamauchi Pharmacist 1501 N Campbell Ave, Tucson, AZ 85724-0001 2018-04-22
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Competitor

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City TUCSON
Zip Code 85711

Improve Information

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Dataset Information

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.

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