ALEXIS JACKSON (NPI# 1750980280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750980280 |
| Entity Type | Individual |
| Full Name | ALEXIS JACKSON |
| Credential | PHARMD. |
| Practice Address |
6535 Grayson Rd Harrisburg PA 17111-5150 |
| Mailing Address |
362 Carlson Rd Hummelstown PA 17036-9484 |
| Practice Telephone | 4792124185 |
| Mailing Telephone | 4792124185 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP441774 | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770121378 | Alexis Adrianna Jackson | Technician | 1205 Parkman Rd Nw, Warren, OH 44485-2470 | 2019-12-13 |
| 1801430343 | Alexis Jackson | Specialist/Technologist | 22 Ashworth Ct, Conroe, TX 77385-3485 | 2019-10-28 |
| 1699389056 | Alexis Jackson | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521-3368 | 2020-09-03 |
| 1710502596 | Alexis Jackson | Peer Specialist | 530 Kings County Dr, Hanford, CA 93230-3579 | 2020-06-08 |
| 1962026013 | Alexis Joan Jackson | Physician Assistant | 303 Harris Industrial Blvd Ste 3, Vidalia, GA 30474-8854 | 2020-06-04 |
| 1275040248 | Alexis Monae Jackson | Behavior Technician | 5121 Kingdom Way Ste 100, Raleigh, NC 27607-6063 | 2017-12-29 |
| 1164804753 | Alexis R Jackson | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2015-06-19 |
| 1952553729 | Alexis Renee Jackson | Student in an Organized Health Care Education/Training Program | 400 Wabash Ave, Akron, OH 44307-2433 | 2008-10-10 |
| 1508984816 | Alexis Malaina Jackson | Occupational Therapist | 1800 Nations Dr, Suite 208, Gurnee, IL 60031-9168 | 2007-03-26 |
| Street Address |
6535 GRAYSON RD |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17111-5150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396704466 | Jane Anne Forte-guaetta | Optometrist | 6535 Grayson Rd, Harrisburg, PA 17111 | 2006-03-18 |
| 1629482690 | Stacy Locke | Optometrist | 6535 Grayson Rd, Harrisburg, PA 17111-5141 | 2014-06-17 |
| 1003138504 | William David Ellis | Pharmacist | 6535 Grayson Rd, Harrisburg, PA 17111-5141 | 2010-02-24 |
| 1245366400 | Dr. Louis J Verdelli & Associates | Optometrist | 6535 Grayson Rd, Harrisburg, PA 17111-5141 | 2007-02-24 |
| 1922155548 | Louis Verdelli | Optometrist | 6535 Grayson Rd, Harrisburg, PA 17111-5141 | 2007-01-04 |
| 1689691735 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 6535 Grayson Rd, Harrisburg, PA 17111-5141 | 2006-07-16 |
| 1508803917 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6535 Grayson Rd, Harrisburg, PA 17111-5141 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417589011 | Brightwood Adult Day Care LLC | Clinic/Center | 5630 Derry Street, Harrisburg, PA 17111 | 2020-02-11 |
| 1114486008 | Candy Benson | Behavior Technician | 2225 Sycamore St Suite 240, Harrisburg, PA 17111 | 2019-03-19 |
| 1295203206 | Shannon Ingram | Behavior Technician | 2225 Sycamore St Suite 120, Harrisburg, PA 17111 | 2018-11-07 |
| 1255862678 | A Caring Hand Home Health Care LLC | Home Health | 5600 Derry St, Harrisburg, PA 17111 | 2017-03-27 |
| 1073067559 | Migliore Treatment Services LLC | Community/Behavioral Health | 60 S 41st St, Harrisburg, PA 17111 | 2016-08-12 |
| 1013384718 | Alina N Glazunova | Nurse Practitioner | 6010 Pindeale Court, Harrisburg, PA 17111 | 2015-08-28 |
| 1033551494 | Elizabeth Ann Campbell | Behavioral Analyst | 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 | 2013-07-25 |
| 1427320688 | Joseph J Trautlein | Allergy & Immunology | 6450 Colchester Ave, Harrisburg, PA 17111 | 2012-02-03 |
| 1083983019 | Bonsall Manfredi & Assoc, P.C. | Psychiatry & Neurology | 2600 Woodlawn Street, Harrisburg, PA 17111 | 2011-12-20 |
| 1083920045 | Mh Medical LLC | Durable Medical Equipment & Medical Supplies | 7412 Derry Street, Harrisburg, PA 17111 | 2010-08-27 |
| Find all providers in zip 17111 | ||||
| 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 |
|---|---|---|---|---|
| 1770195117 | Leslie Wheeler | Pharmacist | #4 Commercial Drive, Harrisburg, IL 62946 | 2020-08-18 |
| 1700497419 | Shari Nicole Williams | Pharmacist | 2504 George St, Harrisburg, PA 17109-3455 | 2020-08-14 |
| 1952946550 | Tammy Sue Tomes | Pharmacist | 2300 Linglestown Rd, Harrisburg, PA 17110-9534 | 2019-11-07 |
| 1285291393 | Ravindra Khimjibhai Malavia | Pharmacist | 4590 Sequoia Dr Apt A, Harrisburg, PA 17109-5167 | 2019-05-23 |
| 1225594641 | Kelly Marie Macdonald | Pharmacist | 5607 Morning Mist Dr, Harrisburg, PA 17111-3737 | 2019-02-11 |
| 1396217279 | Tiana Brenay Anderson | Pharmacist | 4400 Bridge Pointe Dr, Harrisburg, NC 28075-0347 | 2018-12-17 |
| 1902375843 | Stacy Lynn Feldman | Pharmacist | 802 Norwich Ct, Harrisburg, PA 17112-2723 | 2018-11-21 |
| 1013486893 | Lois Lauver | Pharmacist | 5125 Jonestown Rd Ste 371, Harrisburg, PA 17112-2983 | 2018-11-21 |
| 1891219291 | Anne Brookes Powell | Pharmacist | 4305 Nc Highway 49 S, Harrisburg, NC 28075-7528 | 2017-07-28 |
| 1700322286 | John Spagnola | Pharmacist | 4711 Queen St Ste 102, Harrisburg, PA 17109-3125 | 2017-01-09 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17111 |
Please comment or provide details below to improve the information on ALEXIS 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.