MRS. TERRI WHITLEY JACKSON (NPI# 1104057686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104057686 |
| Entity Type | Individual |
| Full Name | MRS. TERRI WHITLEY JACKSON |
| Other Name | MISS TERRI LYNETTE WHITLEY |
| Credential | PHARMD |
| Practice Address |
11080 Greenwell Springs Rd Baton Rouge LA 70814 |
| Mailing Address |
11080 Greenwell Springs Rd Baton Rouge LA 70814-7001 |
| Practice Telephone | 2252736525 |
| Practice Fax Number | 2252749714 |
| Mailing Telephone | 2252736525 |
| Mailing Fax Number | 2252749714 |
| Enumeration Date | 2009-08-02 |
| Last Update Date | 2015-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18211 | LA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699075853 | Terri Jackson | Rehabilitation Practitioner | 1104 Allure Dr, Las Vegas, NV 89128-2095 | 2010-10-21 |
| 1629546965 | Terri L Jackson | Social Worker | 108 S 5th St, Gadsden, AL 35901-4216 | 2018-11-05 |
| 1912403106 | Terri Jackson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-04-05 |
| 1902052939 | Terri A. Jackson | Audiologist | 4601 Hartford St, Abilene, TX 79605-4603 | 2008-08-11 |
| 1174786784 | Terri Jackson | Registered Nurse | 10813 Tumbleweed Rd, Apple Valley, CA 92308-3628 | 2008-07-03 |
| 1023080199 | Terri Jackson | Anesthesiology | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2006-02-03 |
| 1750381752 | Terri D. Jackson | Physician Assistant | 3310 Live Oak St, Youth & Family Center, Dallas, TX 75204-6153 | 2005-08-01 |
| Street Address |
11080 GREENWELL SPRINGS RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033636303 | Mary Liu | Pharmacist | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814-7001 | 2017-08-27 |
| 1144747742 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814-7001 | 2017-08-24 |
| 1336665090 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814-7001 | 2017-08-15 |
| 1962859413 | Elliott Amedee | Pharmacist | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814-7001 | 2016-05-14 |
| 1982072344 | Cam-giang Thi Nguyen | Pharmacist | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814-7001 | 2015-09-02 |
| 1871926931 | Phong N Dang | Pharmacist | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814-7001 | 2013-08-13 |
| 1275832016 | Gregory C Kozak | Pharmacist | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814-7001 | 2011-03-18 |
| 1972802841 | Mark D Chambliss | Pharmacist | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814-7001 | 2011-03-17 |
| 1851699987 | Blair Pope Wilbert | Pharmacist | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814-7001 | 2011-03-15 |
| 1932413549 | Thomas Martin | Pharmacist | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814-7001 | 2010-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114417409 | Dianne Smart Patterson | Case Manager/Care Coordinator | 10821 Cedar Bend Ave, Baton Rouge, LA 70814 | 2018-05-14 |
| 1649794785 | Quiana Gage | Counselor | 3185 Oakcrest Drive, Baton Rouge, LA 70814 | 2017-07-31 |
| 1093166696 | Caring To Love Ministries Inc | Clinic/Center | 3813 North Flannery Rd, Baton Rouge, LA 70814 | 2016-06-24 |
| 1124480439 | Marquiea Anderson | Counselor | 3323 Charlotte Dr., Baton Rouge, LA 70814 | 2016-03-25 |
| 1194196204 | Keyana Deshawn Jackson | Counselor | 4041 Daytona Ave, Baton Rouge, LA 70814 | 2015-10-14 |
| 1013311877 | Tasha Lucien | Registered Nurse | 8508 Greeenwell Springs Rd Apt #27, Baton Rouge, LA 70814 | 2014-10-22 |
| 1245661271 | Freds Stores of Tennessee Inc | Pharmacy | 10710 Greenwell Springs Road, Baton Rouge, LA 70814 | 2013-12-02 |
| 1457539025 | Kenny Roy Oswald | Dentist | 3557 Monterrey Drive, Baton Rouge, LA 70814 | 2008-02-06 |
| 1093990806 | Cahronda Kaliquec Johnson | Speech-Language Pathologist | 3837 Sarasota Dr, Baton Rouge, LA 70814 | 2007-12-31 |
| 1689750887 | Thuong-tri Dinh Nguyen | Dentist | 4814 Monticello Blvd, Baton Rouge, LA 70814 | 2006-10-31 |
| Find all providers in zip 70814 | ||||
| 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 |
|---|---|---|---|---|
| 1578185229 | Erin Hannah Morgan | Pharmacist | 17050 Medical Center Dr Fl 1, Baton Rouge, LA 70816-3221 | 2020-05-15 |
| 1336791458 | Kacie Marie Watson | Pharmacist | 100 Womans Way Ste Ssb1, Baton Rouge, LA 70817-5100 | 2019-07-09 |
| 1639610785 | Amy Douglass | Pharmacist | 9026 Jefferson Hwy Ste 101, Baton Rouge, LA 70809-2432 | 2017-03-09 |
| 1598209504 | Toni Davis Scott | Pharmacist | North Stadium Drive, Baton Rouge, LA 70808 | 2016-12-09 |
| 1538617097 | Loan Nguyen | Pharmacist | 1315 N Cicero Ave, Baton Rouge, LA 70816-1856 | 2016-09-14 |
| 1306200308 | Richard Bienvenu | Pharmacist | 6765 Corporate Blvd, Apt 9209, Baton Rouge, LA 70809-1061 | 2016-04-06 |
| 1114390127 | Anne Minh-anh Tran | Pharmacist | 1628 Campden Dr, Baton Rouge, LA 70810-3599 | 2015-11-12 |
| 1477920452 | Brittney Johnson | Pharmacist | 12629 E Robin Hood Dr, Baton Rouge, LA 70815-6639 | 2015-08-26 |
| 1578930566 | Cally Marie Newsom | Pharmacist | 5500 Perkins Rd Apt 3111, Baton Rouge, LA 70808-4105 | 2015-08-26 |
| 1760858955 | Lauren Mcneill | Pharmacist | 5555 Essen Ln Ste C, Baton Rouge, LA 70809-3566 | 2015-08-11 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70814 |
Please comment or provide details below to improve the information on MRS. TERRI WHITLEY 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.