IndividualActive
Jacqueline Hackney, PHARMD
NPI 1114174406 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Lebanon, VA
Provider details
- NPI number
- 1114174406
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 0202208532 (VA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
495 E. Main St.
Lebanon, VA 24266
Phone: (276) 889-3700
Street-level locationGet directions
Mailing address
Po Box 2377
Lebanon, VA 24266-2377
Registry dates
- Enumerated
- 2008-08-19
- Last updated
- 2008-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.