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

Kimberley Jo Jaques, PHARMACIST

Individual provider Pharmacist · NPI 1568050045

Kimberley Jo Jaques, PHARMACIST is a Pharmacist in Enid, Oklahoma. Practices as a sole proprietor. Licensed in Arkansas, Missouri and Oklahoma.

Licensed in
AR, MO, OK
In the registry since
2021
Specialties on file
3

Practice location Address checks out

929 W Owen K Garriott Rd
Enid, OK 73701-5439
Phone: (580) 237-3151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 11822 (OK)
Pharmacist Taxonomy 183500000X · Licence PD14441 (AR)
Pharmacist Taxonomy 183500000X · Licence 43128 (MO)

Record details

NPI number1568050045
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedJanuary 9, 2021
Last updated in NPPESJanuary 9, 2021
Certification dateJanuary 9, 2021
Mailing address10011 N Pottawatomie Rd, Harrah, OK 73045-9038

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