KESHA JACKSON (NPI# 1073114518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073114518 |
| Entity Type | Individual |
| Full Name | KESHA JACKSON |
| Practice Address |
7451 Mccart Ave Fort Worth TX 76133-7296 |
| Mailing Address |
5123 Swainsons Hawk Ln Grand Prairie TX 75052-3083 |
| Practice Telephone | 8173617284 |
| Mailing Telephone | 8163093628 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 44778 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215589585 | Kesha Jackson | Counselor | 10400 Forbes Rd, Pittsburgh, PA 15235-2914 | 2019-07-16 |
| 1528501491 | Kesha N. Jackson | Social Worker | 117 Main Street, Suite B, Toledo, OH 43605-2209 | 2016-11-28 |
| Street Address |
7451 MCCART AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76133-7296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932174406 | Clyde Singleton | Optometrist | 7451 Mccart Ave, Fort Worth, TX 76133-7296 | 2006-02-20 |
| 1134531320 | Singleton Eyecare Center | Optometrist | 7451 Mccart Ave, Fort Worth, TX 76133-7296 | 2014-05-22 |
| 1619051273 | Wal-mart Stores Texas, Lp | Technician/Technologist | 7451 Mccart Ave, Fort Worth, TX 76133-7296 | 2006-10-24 |
| 1578580601 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 7451 Mccart Ave, Fort Worth, TX 76133-7296 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
| 1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
| 1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
| 1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
| 1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
| 1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
| 1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
| 1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
| 1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
| 1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
| Find all providers in zip 76133 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326157 | Phillip Alexander Smith | Pharmacist | 5261 Smokey Ridge Dr, Fort Worth, TX 76123-2896 | 2020-11-05 |
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1174124655 | Benjamin N Quaye | Pharmacist | 11436 Sorano Way Apt 17104, Fort Worth, TX 76244-1575 | 2020-11-02 |
| 1194325795 | Mai Hanh Dang | Pharmacist | 7557 Sienna Ridge Ln, Fort Worth, TX 76131-5119 | 2020-11-01 |
| 1306446521 | Shellie Woody Lindley | Pharmacist | 500 Throckmorton St Apt 2109, Fort Worth, TX 76102-3808 | 2020-10-27 |
| 1659988186 | Mckenzie Crockett | Pharmacist | 8600 Camp Bowie W Blvd, Fort Worth, TX 76116-6102 | 2020-09-29 |
| 1033729942 | Jamie Cheatheam | Pharmacist | 1225 Nighthawk Rd, Fort Worth, TX 76108-6988 | 2020-08-05 |
| 1598373334 | Henry Ngoc Nguyen | Pharmacist | 3100 S Hulen St, Fort Worth, TX 76109-1925 | 2020-07-17 |
| 1760007744 | Roy Nwakamma | Pharmacist | 4501 E Lancaster Ave # 105, Fort Worth, TX 76103-3210 | 2020-06-15 |
| 1265055107 | Priyank Patel | Pharmacist | 5317 Summer Meadows Dr, Fort Worth, TX 76123-1975 | 2020-05-27 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76133 |
Please comment or provide details below to improve the information on KESHA JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.