Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568050045 Individual Practitioner Female Practitioner

Kimberley Jo Jaques , PHARMACIST

Pharmacist • Enid, OK

Professional Overview & Biography Verified Profile Summary

Kimberley Jaques, PHARMACIST is a registered healthcare professional specializing in Pharmacist in Enid, OK. Practice services are available at 929 W OWEN K GARRIOTT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

929 W Owen K Garriott Rd

Enid, OK 737015439

Telephone 5802373151
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1881609857

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Enid, OK

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

Practicing in Enid, OK (3455 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: 2021-01-09
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OK 11822

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License AR PD14441

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License MO 43128

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Board Of Pharmacy
43128 (MO)
Commercial Insurance / Payer ID State Board Of Pharmacy
PD14441 (AR)
Commercial Insurance / Payer ID State Board Of Pharmacy License
11822 (OK)

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1477144368

Doctor of Pharmacy (Pharm.D.)

NPI 1508651514
NPI 1669985321

Doctor of Pharmacy (Pharm.D.)

Michael Edge

Pharmacist

NPI 1740562867
NPI 1881977627

Registered Pharmacist

NPI 1922383421

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 09, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2021

Registered at 929 W OWEN K GARRIOTT RD, ENID, OK 737015439 (Tel: 5802373151)

📍
Updated Business Mailing Address January 09, 2021

Registered at 10011 N POTTAWATOMIE RD, HARRAH, OK 730459038 (Tel: 4058316480)

👤
Provider Name / Credentials Updated January 09, 2021

Recorded as KIMBERLEY JAQUES, PHARMACIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2021

Pharmacist (License #11822 in OK)

🟢
Initial NPI Registration & Enumeration January 09, 2021

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: 1568050045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2021
Last Update: January 09, 2021
Sole Proprietor: Yes

Mailing Address

10011 N Pottawatomie Rd

Harrah, OK 730459038

Phone: 4058316480

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.