Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1669720637 Deactivated / Inactive NPI Female Practitioner

Jacqueline Kimbell Weaver , RPH

Pharmacist • Minden, LA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacqueline Weaver has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2012
NPI Deactivation Date May 21, 2026
Total Practice Duration ~14 Years of Practice (2012 – 2026)

Professional Overview & Biography Verified Profile Summary

Jacqueline Weaver, RPH was a registered Pharmacist practicing in Minden, LA. Throughout an active medical career spanning 14 years, Jacqueline Weaver provided care at the practice location at 1208 HOMER RD until profile deactivation on 2026-05-21.

Practice Location & Contact Primary Location

Practice Address

1208 Homer Rd

Minden, LA 710553082

Telephone 3183711292
Associated Practice Facility / Clinic
🏢 Freds Stores Of Tennessee Inc Facility NPI 1356373393

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Minden, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Minden, LA (4767 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License LA 15301

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1467738369

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 21, 2026

Record deactivated on May 21, 2026

NPI Profile Active August 26, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 26, 2012

Registered at 1208 HOMER RD, MINDEN, LA 710553082 (Tel: 3183711292)

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Updated Business Mailing Address August 26, 2012

Registered at 300 MICHAEL TRL, MINDEN, LA 710557631 (Tel: 3185537136)

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Provider Name / Credentials Updated August 26, 2012

Recorded as JACQUELINE WEAVER, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2012

Pharmacist (License #15301 in LA)

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Initial NPI Registration & Enumeration August 26, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669720637
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2012
Last Update: August 26, 2012
Deactivation Date: May 21, 2026

Mailing Address

300 Michael Trl

Minden, LA 710557631

Phone: 3185537136

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.