Mrs Jacqueline Marie Roberts, RPH, PHARMD is a
Pharmacist based in South Glastonbury, Connecticut. Mrs Jacqueline Marie Roberts is licensed to practice in Connecticut (license number 0008290) and her current practice location is
67 Old Farms Rd, South Glastonbury, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 633-2012.
NPI number for Mrs Jacqueline Marie Roberts is 1386962405 and her current mailing address is 67 Old Farms Rd, South Glastonbury, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386962405.
Healthcare Provider's Profile
Full Name | Mrs Jacqueline Marie Roberts |
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Gender | Female |
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Speciality | Pharmacist |
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Location | 67 Old Farms Rd, South Glastonbury, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386962405
- Provider Enumeration Date: 05/13/2010
- Last Update Date: 05/13/2010
Medical Identifiers
Medical identifiers for Mrs Jacqueline Marie Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386962405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 0008290 (Connecticut) | Primary |
183500000X | Pharmacist | 23140 (Massachusetts) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacqueline Marie Roberts is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jacqueline Marie Roberts, RPH, PHARMD 67 Old Farms Rd, South Glastonbury, CT 06073-3712 Ph: (860) 633-2012 | Mrs Jacqueline Marie Roberts, RPH, PHARMD 67 Old Farms Rd, South Glastonbury, CT 06073-3712 Ph: (860) 633-2012 |
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