MR. JARVIS PAUL JACKSON (NPI# 1346353760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346353760 |
| Entity Type | Individual |
| Full Name | MR. JARVIS PAUL JACKSON |
| Practice Address |
15615 193rd St E Hastings MN 55033-9263 |
| Practice Telephone | 6514372675 |
| Mailing Telephone | 6514372675 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1142051 | MN | Pharmacy Service Providers |
| Street Address |
15615 193RD ST E |
| City | HASTINGS |
| State | MN |
| Zip Code | 55033-9263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679052898 | Juan Miguel Almonte Sanchez | Dentist | 1465 N Frontage Rd, Hastings, MN 55033 | 2018-08-08 |
| 1194126995 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1411 Vermillion, Hastings, MN 55033 | 2014-09-11 |
| 1134490469 | Bernie Jerome Menge | Counselor | 1303 S Frontage Rd Ste 275, Hastings, MN 55033 | 2012-01-18 |
| 1578874814 | Kristen Kingsbury Desautel | Optometrist | 1757 N. Frontage Rd, Hastings, MN 55033 | 2010-06-30 |
| 1790944973 | Parker Chiropractic Pa | Chiropractor | 1320 S Frontage Rd, Ste 102, Hastings, MN 55033 | 2008-06-03 |
| 1518144740 | Susan Hietala Levahn | Physical Therapist | 85 Pleasant Ave, Hastings, MN 55033 | 2008-01-30 |
| 1851578215 | John Thomas Tonsager | Physical Therapist | 1285 Nininger Road, Hastings, MN 55033 | 2008-01-29 |
| 1588849889 | Laura Lynn Richardson | Occupational Therapist | 85 Pleasant Drive, Hastings, MN 55033 | 2008-01-04 |
| 1518142801 | Debra Ann Perron Mccabe | Occupational Therapist | 1175 Nininger Road, Hastings, MN 55033 | 2008-01-04 |
| 1083899892 | Christina Marie Kummer | Occupational Therapist | 85 Pleasant, Regina Medical Center Ymca Location Out Pt Clinic, Hastings, MN 55033 | 2007-12-31 |
| Find all providers in zip 55033 | ||||
| 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 |
|---|---|---|---|---|
| 1528612116 | Brandee Jo Schram I | Pharmacist | 2415 Osborne Dr E Ste 100, Hastings, NE 68901-1999 | 2019-07-31 |
| 1639602758 | Brady L Slama | Pharmacist | 1822 W 12th St, Hastings, NE 68901-3647 | 2017-04-05 |
| 1891017778 | Pharm Assist Services Pllc | Pharmacist | 8922 Pleasant Ave S, Hastings, MN 55033-8425 | 2010-02-19 |
| 1235370321 | Ronnie S Bowie | Pharmacist | 920 S Burlington Ave, Hastings, NE 68901-6913 | 2009-03-18 |
| 1174675177 | Elizabeth Jane Trayers | Pharmacist | 11727 120th St S, Hastings, MN 55033-8903 | 2007-01-18 |
| 1225189103 | Bosley Pharmacy No. 2 Inc | Pharmacist | 118 S Jefferson St, Hastings, MI 49058-1826 | 2007-01-16 |
| 1982712550 | Charles Muday | Pharmacist | 127 S Michigan Ave, Hastings, MI 49058-1830 | 2006-08-25 |
| 1861437147 | Hilarie Lynn Redline | Pharmacist | 1512 Apache Ave, Hastings, NE 68901-2806 | 2006-06-19 |
| 1245212083 | Timothy Redline | Pharmacist | 401 W 33rd St, #100, Hastings, NE 68901-2577 | 2005-11-17 |
| 1114929601 | Dennis J Fowler | Pharmacist | 317 Beaver Street, Hastings, PA 16646 | 2005-08-15 |
| Find all providers in HASTINGS | ||||
Please comment or provide details below to improve the information on MR. JARVIS PAUL 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.