JACLYNN R LAVIOLETTE
NPI 1437759636
Pharmacist in Niles, MI

Active since October 27, 2020
2107 S 11TH ST, NILES, MI 49120(269) 683-5573 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jaclynn R Laviolette NPPES

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

JACLYNN R LAVIOLETTE (NPI 1437759636) is an individual pharmacist in Niles, Michigan, licensed in Michigan (5302029320) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1437759636
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJACLYNN R LAVIOLETTE
Location Address2107 S 11TH STNiles, MI 49120-4060
Mailing Address19241 Copper Brook DrSouth Bend, IN 46637-2417
Sole ProprietorYes
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
NPI 1437759636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302029320
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.

2107 S 11TH ST, Niles, MI 49120

Other Providers at the Same Location NPPES 8

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

Pharmacist
2107 S 11TH ST
NILES, MI 49120
Pharmacist
2107 S 11TH ST
NILES, MI 49120
Pharmacist
2107 S 11TH ST
NILES, MI 49120
Pharmacy Technician
2107 S 11TH ST
NILES, MI 49120
Pharmacist
2107 S 11TH ST
NILES, MI 49120
Pharmacist
2107 S 11TH ST
NILES, MI 49120
Pharmacy (Community/Retail Pharmacy)
2107 S 11TH ST
NILES, MI 49120
Eyewear Supplier
2107 S 11TH ST
NILES, MI 49120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437759636, enumerated as an "individual" on October 27, 2020.

The provider is located at 2107 S 11TH ST NILES, MI 49120 and the phone number is (269) 683-5573.

Pharmacist with taxonomy code 183500000X.