Healthcare Provider Details

I. General information

NPI: 1093630576
Provider Name (Legal Business Name): JACLYN FEINGOLD PHARMD, RPH
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROBERT WOOD JOHNSON PL # 08901
NEW BRUNSWICK NJ
08901-1928
US

IV. Provider business mailing address

57 LIVINGSTON LN
MANALAPAN NJ
07726-2808
US

V. Phone/Fax

Practice location:
  • Phone: 609-235-6294
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04507800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: