KASEY LEIGH JACKSON


Address: 1021 Morehead Medical Dr, Charlotte, NC 28204-2990
Phone: 9804423083

KASEY LEIGH JACKSON (NPI# 1760983209) 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) 1760983209
Entity Type Individual
Full Name KASEY LEIGH JACKSON
Credential PHARMD
Practice Address 1021 Morehead Medical Dr
Charlotte
NC 28204-2990
Mailing Address 2300 South Blvd Apt 155
Charlotte
NC 28203-6462
Practice Telephone 9804423083
Practice Fax Number 9804423002
Mailing Telephone 8438452359
Mailing Fax Number 9804423002
Enumeration Date 2018-02-21
Last Update Date 2018-02-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835X0200X Pharmacist
Specialization: Oncology
25151 NC Pharmacy Service Providers

Other Providers KASEY JACKSON

NPI Name Taxonomy Address Enumeration
1003378241 Kasey B Jackson Social Worker 12120 Manchaca Rd, Austin, TX 78748-2710 2019-04-05
1053730416 Kasey Jackson Pediatrics 6701 Fannin St, Houston, TX 77030-2608 2014-04-14

Office Location

Street Address 1021 MOREHEAD MEDICAL DR
City CHARLOTTE
State NC
Zip Code 28204-2990

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518965607 Asim Amin Internal Medicine 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 2005-07-12
1457973117 Ekaterina Kachur Pharmacist 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 2020-05-15
1346874302 Raquel Brehun Physician Assistant 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 2020-02-28
1124665450 Lisa Louise Gale Occupational Therapy Assistant 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 2019-12-05
1205489291 Camille Garcia Nurse Practitioner 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 2019-07-19
1093368052 Shree Bathani Nurse Practitioner 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 2019-07-18
1730748955 Jai Narendra Patel Pharmacist 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 2019-06-11
1558820936 Caroline Watt Nurse Practitioner 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 2019-03-15
1982161907 Vina Sananikone Nurse Practitioner 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 2019-02-26
1588128102 Maggie Corvaia Nurse Practitioner 1021 Morehead Medical Dr, Ste A, Charlotte, NC 28204-2990 2019-01-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285263582 Precise Home Care Service LLC In Home Supportive Care 1935 Baxter Street, Unit 101, Charlotte, NC 28204 2020-04-07
1285276253 Shannon Miller Counselor 1432 E Seventh Street, Charlotte, NC 28204 2019-10-11
1194282202 Madison Joann Mcgarrigle Behavior Technician 1401 East 7th Street, Charlotte, NC 28204 2019-02-25
1255802674 Stacey D. Alston, Dds, Pa Dentist 1020 E. 10th St., Suite 1, Charlotte, NC 28204 2018-12-11
1972082097 Kim Webb Talbert Nurse Practitioner Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 2018-08-09
1164910535 Jesse Elijah Roberts Counselor 1801 E 5th Street, #208, Charlotte, NC 28204 2018-05-01
1336696848 Eight Healthcare Exclusive Provider Organization 2455 Weddington Ave, 2110, Charlotte, NC 28204 2016-09-01
1225480551 Kathleen Quintana Bradley Physician Assistant 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 2016-07-11
1184049777 Della Franklin Speech-Language Pathologist 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 2014-02-19
1225459845 Healing Arts Medical, Pa Family Medicine 335 N. Caswell Rd., Charlotte, NC 28204 2013-12-27
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Taxonomy Information

Taxonomy Code 1835X0200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Oncology

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568973253 Jolly Patel Pharmacist 10650 Park Rd Ste 420, Charlotte, NC 28210-8539 2017-10-20
1730748955 Jai Narendra Patel Pharmacist 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 2019-06-11
1063909794 Janet Arrazcaeta Pharmacist 10650 Park Rd, Charlotte, NC 28210-8538 2018-04-18
1043719958 Adenike Fasan Pharmacist 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 2018-02-06
1215369731 Alexandra Shea Shillingburg Pharmacist 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 2013-08-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043777170 Sheh-li Chen Pharmacist 6013 Farrington Rd Ste 201, Chapel Hill, NC 27517-8173 2019-02-25
1598202566 Raymond B. Elliott Pharmacist 547 Tanbridge Rd, Wilmington, NC 28405-3923 2017-01-27
1831575109 Ryan Beechinor Pharmacist 101 Manning Drive Cb#7600, Chapel Hill, NC 27510 2015-08-10
1578956124 Russell Moore Pharmacist 20 Duke Medicine Cir # 5-1, Durham, NC 27710-2000 2015-03-06
1922301282 Michael E Brewer Pharmacist 2106 Polo Rd, Winston Salem, NC 27106-4937 2010-12-08
1770772915 Meredith Toma Moorman Pharmacist 1 Trent Drive, Box 3089, Durham, NC 27710 2007-10-23
1972082741 Anna Seagle Pharmacist 212 Mulberry St Sw, Lenoir, NC 28645-5414 2018-08-12
1003300609 Daria Wuycik Wooten Pharmacist 1010 Bethesda Ct, Winston Salem, NC 27103-3019 2018-06-18
1245720721 Heather D Nelkin Pharmacist 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2018-05-10
1982100103 Amanda Kolb Edwards Pharmacist 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2018-04-05
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Competitor

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City CHARLOTTE
Zip Code 28204

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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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