DR. TROY M JACKMAN


Address: 709 N Lincoln Ave, Jerome, ID 83338-1851
Phone: 2088149716

DR. TROY M JACKMAN (NPI# 1609414051) 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) 1609414051
Entity Type Individual
Full Name DR. TROY M JACKMAN
Credential PHARMD
Practice Address 709 N Lincoln Ave
Jerome
ID 83338-1851
Practice Telephone 2088149716
Practice Fax Number 2088149587
Mailing Telephone 2088149716
Mailing Fax Number 2088149587
Enumeration Date 2019-12-17
Last Update Date 2019-12-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
P5259 ID Pharmacy Service Providers

Office Location

Street Address 709 N LINCOLN AVE
City JEROME
State ID
Zip Code 83338-1851

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336138783 Brian Lee Johnson Family Medicine 709 N Lincoln Ave, Jerome, ID 83338-1851 2005-10-18
1891165569 Anne B Fullmer Nurse Practitioner 709 N Lincoln Ave, Jerome, ID 83338-1851 2015-10-06
1366874877 St Luke's Magic Valley Regional Medical Center Ltd General Acute Care Hospital 709 N Lincoln Ave, Jerome, ID 83338-1851 2013-08-07
1730511254 St Lukes Magic Valley Regional Medical Center Ltd Medicare Defined Swing Bed Unit 709 N Lincoln Ave, Jerome, ID 83338-1851 2013-08-07
1912137175 Paul A Dickinson Nurse Anesthetist, Certified Registered 709 N Lincoln Ave, Jerome, ID 83338-1851 2009-07-22
1700053774 St Benedicts Fmc Physician Assistants Physician Assistant 709 N Lincoln Ave, Jerome, ID 83338-1851 2008-05-09
1083833933 Thomas Henry Zepeda Personal Emergency Response Attendant 709 N Lincoln Ave, Jerome, ID 83338-1851 2007-04-25
1639211634 St. Benedicts Family Medical Center Long Term Care Hospital 709 N Lincoln Ave, Jerome, ID 83338-1851 2007-02-13
1750489647 Richard Emery Lally Emergency Medicine 709 N Lincoln Ave, Jerome, ID 83338-1851 2006-09-21
1902856727 St Benedicts Family Medical Center Skilled Nursing Facility 709 N Lincoln Ave, Jerome, ID 83338-1851 2006-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295336709 Family Health Services Pharmacy Pharmacy 218 W. Nez Perce, Jerome, ID 83338 2020-11-03
1811391626 Summit Therapy Services In Home Supportive Care 113 East Ave. F, Jerome, ID 83338 2014-10-22
1952645285 Readings Community Pharmacy Inc Pharmacy 133 West A, Jerome, ID 83338 2012-11-27
1801121298 Yolanda S. Sedano Physician Assistant 132 5th Ave West, Jerome, ID 83338 2009-10-02
1295898310 Ronald Gail Hendrickson Dentist 128 South Adams, Jerome, ID 83338 2006-12-19
1316035512 Johnson Chiropractic Clinic Chiropractor 600 N Lincoln Ave, Jerome, ID 83338 2006-10-11
1265527725 Lon M. Egbert, P.C. Specialist/Technologist 128 5th Ave West, Jerome, ID 83338 2006-10-03
1992898605 St Benedicts Family Medical Center Home Health 414 N Lincoln, Suite 1, Jerome, ID 83338 2006-10-02
1790231355 Lexa Marie Balling Pharmacist 2680 S Lincoln Ave, Jerome, ID 83338 2016-09-01
1922037530 St Benedicts Family Medical Center Clinic/Center 115 5th Ave W, Jerome, ID 83338-1824 2006-07-03
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023645918 Matthew Anderson Pharmacist Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 2020-03-23
1417595067 Teresa Janeen Newsom Pharmacist 2840 S Swallowtail Ln, Boise, ID 83706-6138 2019-12-13
1255714879 Kristin Helmboldt Pharmacist 2309 E Cyanite Dr, Meridian, ID 83642-9072 2015-07-01
1932480431 Amy Anne Mcdougal Pharmacist 1066 N Yellowstone Hwy, Rexburg, ID 83440-5103 2011-08-30
1932496650 Charlotte Loring Pharmacist 909 E Park Center B;vd, Boise, ID 83706 2011-07-01
1215237144 Jacqueline K Kavila Pharmacist 2809 E. Cleveland Blvd, Caldwell, ID 83605 2010-10-26
1508096777 Kim E. Tillery Pharmacist 2638 Longbow Dr, Twin Falls, ID 83301-8946 2009-07-21
1093314866 Gregory Aaron Carter Pharmacist 2327 Coronado St, Idaho Falls, ID 83404-7407 2020-10-22
1316544604 James K Hunter Pharmacist 301 Aspen Sq, Saint Anthony, ID 83445-1662 2020-10-08
1629689799 Tanna Marie Schlader Pharmacist 50 2nd St S, Nampa, ID 83651-3700 2020-08-12
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Competitor

Search similar providers

City JEROME
Zip Code 83338

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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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