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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835X0200X |
Pharmacist Specialization: Oncology |
25151 | NC | Pharmacy Service Providers |
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 |
Street Address |
1021 MOREHEAD MEDICAL DR |
City | CHARLOTTE |
State | NC |
Zip Code | 28204-2990 |
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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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 |
Find all providers in zip 28204 |
Taxonomy Code | 1835X0200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Oncology |
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] |
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 |
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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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.