Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackie Lyn David Velasco, RPH

Individual provider Pharmacist · NPI 1083960975

Jackie Lyn David Velasco, RPH is a Pharmacist in Placerville, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1220 Broadway
Placerville, CA 95667-5806
Phone: (530) 626-5501
Fax: (530) 626-6147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 65167 (CA)

Record details

NPI number1083960975
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedJuly 28, 2012
Last updated in NPPESJuly 28, 2012

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