DR. JESSICA JACKSON (NPI# 1669900684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669900684 |
Entity Type | Individual |
Full Name | DR. JESSICA JACKSON |
Credential | PHARMD |
Practice Address |
1717 S College St Auburn AL 36832-5870 |
Mailing Address |
9248 Concord Park Dr Montgomery AL 36117-9301 |
Practice Telephone | 2056014358 |
Practice Fax Number | 2056014358 |
Enumeration Date | 2017-06-03 |
Last Update Date | 2017-06-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 16871 | AL | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | PHARMACY LICENSE | 16871 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437759594 | Jessica Ashley Jackson | Social Worker | 310 W Mckinley Ave, Mishawaka, IN 46545-5600 | 2020-10-28 |
1396387361 | Jessica Leeann Jackson | In Home Supportive Care | 2643 Portsmouth Pl, Hephzibah, GA 30815-6434 | 2019-10-11 |
1720638018 | Jessica Jackson | Registered Nurse | 1600 Pine Tree Rd Apt 415, Longview, TX 75604-3244 | 2019-09-18 |
1386106326 | Jessica Marie Jackson | Specialist/Technologist | 120 Main St Apt 217, Saco, ME 04072-3528 | 2019-04-01 |
1205335916 | Jessica Berdette Jackson | Licensed Practical Nurse | 376 Owego Rd, Candor, NY 13743-1645 | 2018-02-08 |
1023553187 | Jessica Elise Jackson | Physician Assistant | 2109 S Santa Fe Ave, Moore, OK 73160-2807 | 2016-12-28 |
1982151130 | Jessica Jackson | Licensed Practical Nurse | 25 Green Knolls Dr Apt D, Rochester, NY 14620-4777 | 2016-09-06 |
1770940975 | Jessica Jackson | Technician, Other | 24024 Evergreen Rd Apt 108a, Southfield, MI 48075-5517 | 2016-01-20 |
1710344007 | Jessica Jackson | Social Worker | 4 Tufts Trl, Hopatcong, NJ 07843-1013 | 2016-01-18 |
1336572726 | Jessica L Jackson | Health Educator | 492 Naughright Rd, Long Valley, NJ 07853-3807 | 2013-08-20 |
Street Address |
1717 S COLLEGE ST |
City | AUBURN |
State | AL |
Zip Code | 36832-5870 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720005028 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1717 S College St, Auburn, AL 36832-5870 | 2006-07-16 |
1306458955 | July Phouangmanivanh | Pharmacist | 1717 S College St, Auburn, AL 36832-5870 | 2020-08-17 |
1629539812 | Craig R Mcnamara, Od PC | Optometrist | 1717 S College St, Auburn, AL 36832-5870 | 2019-03-29 |
1922588342 | Camille Barnett Rivenbark | Pharmacist | 1717 S College St, Auburn, AL 36832-5870 | 2018-08-15 |
1407346810 | Ellery Parks | Driver | 1717 S College St, Auburn, AL 36832-5870 | 2018-05-11 |
1437672862 | Michael Brian Fitzgerald | Pharmacist | 1717 S College St, Auburn, AL 36832-5870 | 2017-07-18 |
1720517618 | Sara Wells Barnett | Pharmacist | 1717 S College St, Auburn, AL 36832-5870 | 2017-06-05 |
1376071571 | Christopher Handley | Pharmacist | 1717 S College St, Auburn, AL 36832-5870 | 2017-06-01 |
1326389768 | David Olive, Od, PC | Optometrist | 1717 S College St, Auburn, AL 36832-5870 | 2013-03-11 |
1023106085 | Wal-mart Stores East, Lp | Technician/Technologist | 1717 S College St, Auburn, AL 36832-5870 | 2006-10-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700416203 | Taylor Lane Kellogg | Student in an Organized Health Care Education/Training Program | 2038 Lee Road 137 Lot 310, Auburn, AL 36832 | 2020-01-23 |
1093270886 | Jose Antonio Prieto | Specialist/Technologist | 2005 Downs Way, Auburn, AL 36832 | 2019-02-05 |
1659846087 | Jason Gilleland | Dietitian, Registered | 258 Tallyho Dr, Auburn, AL 36832 | 2018-10-12 |
1972059814 | Southeast Vision LLC | Eyewear Supplier (Equipment, not the service) | 106 West Veterans Drive, Auburn, AL 36832 | 2016-08-31 |
1417308156 | Robert Brooks | Specialist/Technologist | 623 Deer Run Road, Auburn, AL 36832 | 2016-06-23 |
1144680612 | Vincent N Jones | Pharmacist | 1810 Shug Jordan Pkwy, Auburn, AL 36832 | 2016-02-26 |
1912378563 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1810 Shug Jordan Parkway, Auburn, AL 36832 | 2015-10-08 |
1629384847 | Christie Jones | Physical Therapist | 560 Devall Dr, Auburn, AL 36832 | 2010-08-25 |
1336215680 | Auburn Spine & Neurosurgery Center, PC | Neurological Surgery | 560 Devall Drive, Suite 301, Auburn, AL 36832 | 2006-11-28 |
1902816176 | Catherine Elizabeth Douier-donald | Dentist | 1452 Opelika Rd, Ste E, Auburn, AL 36832 | 2006-08-09 |
Find all providers in zip 36832 |
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 |
---|---|---|---|---|
1417562703 | Unaleesha Henry | Pharmacist | 776 Bridle Creek Way, Auburn, GA 30011-4656 | 2020-09-13 |
1730706557 | Jenny Rose Calayag | Pharmacist | 28216 54th Ave S, Auburn, WA 98001-1928 | 2020-06-26 |
1114546132 | Courtney Gunn | Pharmacist | 904 Andrews Ave, Auburn, AL 36832-6002 | 2020-04-09 |
1730719238 | Jared Sibley | Pharmacist | 447 W Longleaf Dr Apt 1215, Auburn, AL 36832-7416 | 2020-01-23 |
1982254934 | Anne Wyant Saunders | Pharmacist | 501 Webster Rd Lot 11, Auburn, AL 36832-4211 | 2019-09-11 |
1992365852 | Darby Reynolds Norris | Pharmacist | 2047 E. University Dr., Auburn, AL 36830-3336 | 2019-06-13 |
1578128302 | Jacqueline Lacey Nash | Pharmacist | 1550 Pumphrey Ave, Auburn, AL 36832-4302 | 2019-05-07 |
1790213866 | Amy Morton Dean | Pharmacist | 717 Queens, Auburn, AL 36830 | 2017-06-01 |
1881138428 | Kristina M Wimpee | Pharmacist | 134 Sugar Maple Drive, Suite A, Auburn, KY 42206 | 2016-12-16 |
1255781480 | Lucia C Carter | Pharmacist | 359 Shell Toomer Pkwy, Auburn, AL 36830-6951 | 2016-06-19 |
Find all providers in AUBURN |
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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.