Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437759636 Individual Practitioner Female Practitioner

Jaclynn R Laviolette

Pharmacist • Niles, MI

Professional Overview & Biography Verified Profile Summary

Jaclynn Laviolette is a registered healthcare professional specializing in Pharmacist in Niles, MI. Practice services are available at 2107 S 11TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2107 S 11th St

Niles, MI 491204060

Telephone 2696835573
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1730106949

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Niles, MI

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

Practicing in Niles, 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: 2020-10-27
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302029320

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

6 Associated Practitioners
NPI 1013610344
NPI 1134721301

Doctor of Pharmacy (Pharm.D.)

Simona Davis , CPHT

Pharmacy Technician

NPI 1205411832

Certified Pharmacy Technician

NPI 1215537022

Doctor of Pharmacy (Pharm.D.)

NPI 1366259020
NPI 1518567064

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 27, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2020

Registered at 2107 S 11TH ST, NILES, MI 491204060 (Tel: 2696835573)

📍
Updated Business Mailing Address October 27, 2020

Registered at 19241 COPPER BROOK DR, SOUTH BEND, IN 466372417

👤
Provider Name / Credentials Updated October 27, 2020

Recorded as JACLYNN LAVIOLETTE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2020

Pharmacist (License #5302029320 in MI)

🟢
Initial NPI Registration & Enumeration October 27, 2020

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: 1437759636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2020
Last Update: October 27, 2020
Sole Proprietor: Yes

Mailing Address

19241 Copper Brook Dr

South Bend, IN 466372417

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.