Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568502920 Individual Practitioner Male Practitioner

Keith Jacque , RPH

Pharmacist • Manistee, MI

Professional Overview & Biography Verified Profile Summary

Keith Jacque, RPH is a registered healthcare professional specializing in Pharmacist in Manistee, MI. Practice services are available at 2608 GOVERNMENT CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2608 Government Center Dr

Manistee, MI 496608302

Telephone 9898020354
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Manistee, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
25 Specialists

Practicing in Manistee, MI (8602 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

CMS Verified: 2022-08-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302029749

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

7 Associated Practitioners
Megan Vansickle , FNP-BC

Nurse Practitioner - Family

NPI 1134952708

Family Nurse Practitioner (Board Certified)

Daryl Wever

Podiatrist - Foot & Ankle Surgery

NPI 1386807212
NPI 1578282695

Doctor of Pharmacy (Pharm.D.)

Angela Schwandt , LPC

Counselor - Mental Health

NPI 1598516338

Licensed Professional Counselor

NPI 1598584492

Registered Pharmacist

NPI 1871303768

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location August 13, 2022

Registered at 2608 GOVERNMENT CENTER DR, MANISTEE, MI 496608302 (Tel: 9898020354)

NPI Profile Active December 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2014

Registered at 11250 N MISSION RD, CLARE, MI 486179301 (Tel: 9898020354)

📍
Updated Business Mailing Address December 30, 2014

Registered at 13377 WOODLAND CT, BIG RAPIDS, MI 493079448 (Tel: 2317963871)

👤
Provider Name / Credentials Updated December 30, 2014

Recorded as KEITH JACQUE, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2014

Pharmacist (License #5302029749 in MI)

🟢
Initial NPI Registration & Enumeration February 07, 2007

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: 1568502920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2007
Last Update: August 13, 2022
Sole Proprietor: Yes

Mailing Address

13377 Woodland Ct

Big Rapids, MI 493079448

Phone: 2317963871

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.