DR. JACLYN KOTULA PHARMD
NPI 1437678059
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Shiprock, NM

Active since September 14, 2017

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Sep 14, 2017 (2 updates tracked since 2017).

About Dr. Jaclyn Kotula Pharmd NPPES

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

DR. JACLYN KOTULA PHARMD (NPI 1437678059) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Shiprock, New Mexico, licensed in New York (060454) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1437678059
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. JACLYN KOTULACredential: PHARMD
Location AddressHWY 491 NShiprock, NM 87420
Mailing Address2213 E 18th StFarmington, NM 87401-7530 · (585) 815-9277
Sole ProprietorNo
Enumeration DateSeptember 14, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1437678059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in NY · 060454
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
HWY 491 N, Shiprock, NM 87420

Other Providers at the Same Location NPPES 3

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

Pediatrics
HWY 491 N, NORTHERN NAVAJO MEDICAL CENTER
SHIPROCK, NM 87420
Pharmacist
HWY 491 N, PHARMACY DEPT
SHIPROCK, NM 87420
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
HWY 491 N
SHIPROCK, NM 87420

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 Jaclyn Kotula's NPI number?

The NPI number for Jaclyn Kotula is 1437678059. It was assigned to this individual provider in the NPPES registry on September 14, 2017.

Where is Jaclyn Kotula located?

Jaclyn Kotula practices at Hwy 491 N, Shiprock, NM 87420. The listed phone number is (505) 368-7266.

What is Jaclyn Kotula's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jaclyn Kotula was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.