JACQUELYN DWYER
NPI 1104218064
Pharmacist in Rotterdam, NY

Active since March 02, 2015
3075 BROADWAY, ROTTERDAM, NY 12306(518) 357-2495(518) 357-0207 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacquelyn Dwyer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN DWYER (NPI 1104218064) is an individual pharmacist in Rotterdam, New York, licensed in New York (058144) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1104218064
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJACQUELYN DWYER
Location Address3075 BROADWAYRotterdam, NY 12306-2131
Mailing Address3075 BroadwayRotterdam, NY 12306-2131 · (518) 357-2495 · Fax (518) 357-0207
Fax(518) 357-0207
Sole ProprietorNo
Enumeration DateMarch 2, 2015
NPI 1104218064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 058144
Definition
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.
3075 BROADWAY, Rotterdam, NY 12306

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
3075 BROADWAY
ROTTERDAM, NY 12306
Pharmacist
3075 BROADWAY
SCHENECTADY, NY 12306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Dwyer's NPI number?

The NPI number for Jacquelyn Dwyer is 1104218064. It was assigned to this individual provider in the NPPES registry on March 2, 2015.

Where is Jacquelyn Dwyer located?

Jacquelyn Dwyer practices at 3075 Broadway, Rotterdam, NY 12306. The listed phone number is (518) 357-2495.

What is Jacquelyn Dwyer's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Dwyer was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.