JAMES D JACKSON JR. (NPI# 1154447076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154447076 |
Entity Type | Individual |
Full Name | JAMES D JACKSON JR. |
Other Name | JIM D JACKSON |
Credential | R.PH. |
Practice Address |
28271 Highway 15 Walnut MS 38683-8930 |
Mailing Address |
1040 County Road 225 Walnut MS 38683-9279 |
Practice Telephone | 6622234727 |
Practice Fax Number | 6622235899 |
Mailing Telephone | 6622236659 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2017-12-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | E-08477 | MS | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699373456 | James Andy Jackson | Counselor | 14239 Charles Pollock Ave, El Paso, TX 79938-3197 | 2020-10-14 |
1770905200 | James Jackson | Legal Medicine | 1404 Chandler Rd Se, Huntsville, AL 35801-1406 | 2014-01-17 |
1811282247 | James Allen Jackson | Social Worker | 5209 Point Fosdick Dr Nw Ste 205, Gig Harbor, WA 98335 | 2011-06-14 |
1154656460 | James Bruce Jackson | Surgery | 2004 Lexington Ave, Mansfield, OH 44907-3024 | 2009-10-05 |
1710118625 | James W Jackson | Behavioral Analyst | 1111 N Cedar Rd, New Lenox, IL 60451-1419 | 2009-07-27 |
1386843050 | James Andrew Jackson | Dentist | 228 Main St., Nettleton, MS 38858 | 2007-07-13 |
1861610727 | James Kenneth Jackson | Family Medicine | 1590 E 13th St., University Health Center, Eugene, OR 97403 | 2007-04-23 |
1518003078 | James Edward Jackson | Social Worker | 736 Se 18th Ave, Ocala, FL 34471-4114 | 2007-01-30 |
1871648253 | James Richard Jackson | Physician Assistant | 3403 S Padre Island Dr Ste 301, Corpus Christi, TX 78415-2925 | 2007-01-24 |
1891848529 | James Fred Jackson | Dentist | 1193 Pineview Dr, Morgantown, WV 26505-2700 | 2007-01-18 |
Street Address |
28271 HIGHWAY 15 |
City | WALNUT |
State | MS |
Zip Code | 38683-8930 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588741011 | Duncans Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 28271 Highway 15, Walnut, MS 38683-8930 | 2006-11-01 |
1215302617 | Duncan's Pharmacy, Inc. | Pharmacy | 28271 Highway 15, Walnut, MS 38683-8930 | 2015-12-10 |
1316063159 | Duncan's Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 28271 Highway 15, Walnut, MS 38683-8930 | 2007-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477007425 | Markita Sherise Gary | Home Health | 60 Proctor St, Walnut, MS 38683 | 2016-08-08 |
1376938746 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 531 Main St, Walnut, MS 38683-9349 | 2015-04-02 |
1265451991 | Mark Alexander Lothenore | Nurse Practitioner | 28301 Highway 15, Walnut, MS 38683-9753 | 2006-07-19 |
1538624580 | Jessica Gail Prather | Nurse Practitioner | 28301 Highway 15, Walnut, MS 38683-9753 | 2019-02-04 |
1467681726 | Rhonda M. Taylor | Nurse Practitioner | 28301 Highway 15, Walnut, MS 38683-9753 | 2009-07-08 |
1861673139 | Treesap Clinic, Inc. | Clinic/Center | 28301 Highway 15, Walnut, MS 38683-9753 | 2007-11-15 |
1124427455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 28191 Highway 15, Walnut, MS 38683-9798 | 2014-08-22 |
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 |
---|---|---|---|---|
1720690936 | Shirley Wu | Pharmacist | 20732 Fuero Dr, Walnut, CA 91789-2560 | 2020-08-19 |
1346876307 | Giovanni Le | Pharmacist | 20507 Sartell Dr, Walnut, CA 91789-3549 | 2020-03-20 |
1831754233 | Huei-chen Hsu | Pharmacist | 21590 East Valley Blvd., Walnut, CA 91789 | 2019-05-01 |
1740750272 | Tiffany Mei Fong | Pharmacist | 20454 San Gabriel Valley Dr, Walnut, CA 91789-1012 | 2018-11-27 |
1720575608 | Sonam Patel | Pharmacist | 1533 Parker Canyon Road, Walnut, CA 91789 | 2018-04-17 |
1194238451 | Perry Wu | Pharmacist | 20700 Missionary Ridge St, Walnut, CA 91789-4006 | 2017-11-09 |
1992239065 | Susan Li | Pharmacist | 21590 Valley Blvd, Walnut, CA 91789-5241 | 2017-04-16 |
1013449180 | Jamie Han | Pharmacist | 1254 Rapidview Dr, Walnut, CA 91789-3825 | 2017-03-29 |
1871036103 | Christine Heeyoung Kim | Pharmacist | 20724 E Mill Ln, Walnut, CA 91789-4070 | 2016-11-18 |
1093267437 | David Yang | Pharmacist | 21112 Benik Pl, Walnut, CA 91789-5206 | 2016-11-02 |
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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.