Jackie Lyn David Velasco, RPH - Pharmacist in Placerville, CA

Jackie Lyn David Velasco, RPH is a Pharmacist based in Placerville, California. Jackie Lyn David Velasco is licensed to practice in California (license number 65167) and her current practice location is 1220 Broadway, Placerville, California. She can be reached at her office (for appointments etc.) via phone at (530) 626-5501.

NPI number for Jackie Lyn David Velasco is 1083960975 and her current mailing address is 928 Pacific St, Placerville, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083960975.

Contact Information

Jackie Lyn David Velasco, RPH
1220 Broadway,
Placerville, CA 95667-5806
(530) 626-5501
(530) 626-6147

Healthcare Provider's Profile

Full NameJackie Lyn David Velasco
GenderFemale
SpecialityPharmacist
Location1220 Broadway, Placerville, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083960975
  • Provider Enumeration Date: 07/28/2012
  • Last Update Date: 07/28/2012

Medical Identifiers

Medical identifiers for Jackie Lyn David Velasco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083960975NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 65167 (California)Primary

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. Jackie Lyn David Velasco 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 AddressPractice Location Address
Jackie Lyn David Velasco, RPH
928 Pacific St,
Placerville, CA 95667-5631

Ph: (916) 868-5996
Jackie Lyn David Velasco, RPH
1220 Broadway,
Placerville, CA 95667-5806

Ph: (530) 626-5501

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› Verified 7 days ago


Pharmacist in Placerville, CA

Dr. David C Becker-ellison, RPH
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Medicare: Not Enrolled in Medicare
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Phone: 530-626-8642    
Amanuel Tesfamichael,
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Dr. Zubair M Amin, PHARMD
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Christie Hall, PHARMD
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Practice Location: 1220 Broadway, Placerville, CA 95667
Phone: 530-626-5501    
Peter Leslie Mcintyre, RPH
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Medicare: Not Enrolled in Medicare
Practice Location: 3955 Missouri Flat Rd, Placerville, CA 95667
Phone: 530-295-2977    Fax: 530-295-2981
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Medicare: Not Enrolled in Medicare
Practice Location: 4212 Missouri Flat Rd, Placerville, CA 95667
Phone: 530-748-2385    

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