JACLYN MARIE CARNAHAN — NPI 1205584372 (Licensed & Credentialed Pharmacy Technician in DURAND, MI)

CMS-1500 Box 24J / 33a • NPI

1205584372

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

183700000X

Licensed & Credentialed Pharmacy Technician

Box 32 Service Location & ZIP+4

8531 E LANSING RD, DURAND, MI, 48429-1072

✓ 9-Digit EDI 837 ZIP+4 (48429-1072)

Practice Phone & Referral Fax

(989) 288-3101

Fax: (989) 288-0017

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205584372 (JACLYN MARIE CARNAHAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1205584372` (NPI-1 Individual Practitioner)
Provider / Legal Name	JACLYN MARIE CARNAHAN
Plain-English Specialty	Licensed & Credentialed Pharmacy Technician NUCC Code: `183700000X` (Pharmacy Technician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	8531 E LANSING RD, DURAND, MI, 48429-1072
Practice Telephone / Fax	Tel: (989) 288-3101 \| Fax: (989) 288-0017
Administrative Mailing Address	9671 HENDERSON RD, CORUNNA, MI, 48817-9793
Enumeration & Last Sync	Enumerated: 2022-03-16 \| CMS Record Updated: 2022-03-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

8531 E LANSING RD, DURAND, MI, 48429-1072

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Plain-English Taxonomy & CMS Crosswalk (183700000X)

What Does Taxonomy Code 183700000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 183700000X translates to:
"Licensed & Credentialed Pharmacy Technician"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy Technician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JACLYN MARIE CARNAHAN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`183700000X` — Pharmacy Technician Plain English: Licensed & Credentialed Pharmacy Technician	State: MI \| License: `5303009757` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JACLYN MARIE CARNAHAN (NPI #1205584372)