MONIQUE JACKSON


Address: 6730 Bluffton Rd, Fort Wayne, IN 46809-2649
Phone: 2607477563

MONIQUE JACKSON (NPI# 1154606994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154606994
Entity Type Individual
Full Name MONIQUE JACKSON
Credential PHARMD
Practice Address 6730 Bluffton Rd
Fort Wayne
IN 46809-2649
Practice Telephone 2607477563
Mailing Telephone 2607477563
Enumeration Date 2011-10-12
Last Update Date 2012-07-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 26023015A IN Pharmacy Service Providers

Other Providers MONIQUE JACKSON

NPI Name Taxonomy Address Enumeration
1871049684 Monique Jackson Occupational Therapist 21630 Jessel Ave, Detroit, MI 48219 2016-08-31
1891178281 Monique Jackson Optometrist 4205 Canal St, Ste B, New Orleans, LA 70119-5942 2015-07-02
1083973697 Monique Lasean Jackson Case Manager/Care Coordinator 2910 Buford Dr, Apt# 702, Buford, GA 30519-5109 2012-05-16
1295026946 Monique Jackson Pharmacist 1728 S Madison St, Whiteville, NC 28472-4934 2011-04-28
1295951291 Monique Rochell Jackson Nursing Care 121 Oregon Ave, Ewing, NJ 08638 2007-04-18
1952338543 Monique Rachelle Jackson Nurse Practitioner 1120 W. Washington Blvd., Los Angeles, CA 90015 2006-06-27
1114579208 Monique Jackson Counselor 4410 W 13 Mile Rd, Royal Oak, MI 48073-6515 2019-07-10
1811482235 Monique Jackson Registered Nurse 89 Bartlett St, Brooklyn, NY 11206-4463 2018-06-27
1427594092 Monique Jackson Social Worker 9701 Philadelphia Ct Ste R, Lanham, MD 20706-4435 2017-01-06
1730622150 Monique Kimberly Jackson Social Worker 8 Atwood Dr, Suite 301, Northampton, MA 01060-4266 2016-12-02

Office Location

Street Address 6730 BLUFFTON RD
City FORT WAYNE
State IN
Zip Code 46809-2649

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851306971 Walgreen Co Durable Medical Equipment & Medical Supplies 6730 Bluffton Rd, Fort Wayne, IN 46809-2649 2006-07-29
1306323076 Charles David Anderson Pharmacist 6730 Bluffton Rd, Fort Wayne, IN 46809-2649 2018-07-25
1184110389 Sarah Beth Townsend Pharmacist 6730 Bluffton Rd, Fort Wayne, IN 46809-2649 2018-07-11
1780137687 Hannah Denney Pharmacist 6730 Bluffton Rd, Fort Wayne, IN 46809-2649 2016-07-27
1316220494 Ann Marie Miller Pharmacist 6730 Bluffton Rd, Fort Wayne, IN 46809-2649 2011-09-24
1740563030 Alexandra Denise Moore Lijewski Pharmacist 6730 Bluffton Rd, Fort Wayne, IN 46809-2649 2011-09-22
1841573318 Vicki Eileen Caccamo Pharmacist 6730 Bluffton Rd, Fort Wayne, IN 46809 2011-09-21
1194008839 Kathleen Anne Smith Pharmacist 6730 Bluffton Rd, Fort Wayne, IN 46809-2649 2011-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497038574 Zachary L Roberts Pharmacist 12279 Bluffton Road, Fort Wayne, IN 46809 2011-09-24
1679660278 Kool Smiles In Ft. Wayne, PC Dentist 1852 Bluffton Road, Ft. Wayne, IN 46809 2006-10-06
1477512564 Brian Thomas Raypole Specialist/Technologist 5050 N. Clinton Street, Fort Wayne, IN 46809 2006-03-20
1669016895 Trinity Health Pharmacy Services, LLC Pharmacy 12279 Bluffton Road, Fort Wayne, IN 46809 2019-10-31
1871049981 Mark Sexton Physical Therapist 3534 Brooklyn Ave, Fort Wayne, IN 46809 2016-08-29
1104988112 Karena Diane Schroeder Physical Therapist 3534 Brooklyn Ave, Fort Wayne, IN 46809 2006-12-15
1013084946 David L Kuhn Physical Therapist 3534 Brooklyn Ave, Fort Wayne, IN 46809 2006-11-29
1265588404 May R. Dahman Specialist 1733 Kinsmoor Ave, Fort Wayne, IN 46809-1025 2007-01-27
1134746209 Laurel Schroeder Occupational Therapist 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 2020-07-06
1730793605 Cody Craig Physical Therapist 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 2020-09-08
Find all providers in zip 46809

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295347102 Austin Hartzog Pharmacist 5110 Value Drive, Fort Wayne, IN 46808 2020-08-21
1528677622 Leslie Renee Siegel Pharmacist 11109 Parkview Plaza Dr # 1, Fort Wayne, IN 46845-1701 2020-07-24
1962048140 Andrew Quang Tran Pharmacist 6202 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 2019-11-21
1467005991 Nicholas Selby Pharmacist 6220 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 2019-07-23
1215427042 Jerry Eugene Falls Pharmacist 9817 Chapmans Blvd, Fort Wayne, IN 46835-9194 2018-05-17
1871082412 Tara K Jellison Pharmacist 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 2018-05-09
1063900611 Juliette Peters Pharmacist 1900 Carew St Ste 4, Fort Wayne, IN 46805-4765 2018-04-30
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1790238350 Karleen Goodwin Pharmacist 3964 New Vision Dr, Fort Wayne, IN 46845-1712 2016-08-01
1699131300 Brent Alan Losier Pharmacist 3537 N Anthony Blvd, Suite A, Fort Wayne, IN 46805-1423 2016-01-11
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46809

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Dataset Information

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.

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