SARAH ALLISON JACKSON (NPI# 1801171244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801171244 |
| Entity Type | Individual |
| Full Name | SARAH ALLISON JACKSON |
| Credential | RPH, PHARMD |
| Practice Address |
6725 N Glenwood St Boise ID 83714-1926 |
| Mailing Address |
4211 E Trekker Rim Dr Boise ID 83716-7144 |
| Practice Telephone | 2083191271 |
| Practice Fax Number | 2083191274 |
| Mailing Telephone | 2086025061 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P5820 | ID | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | STATE LISCENSE | P5820 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095238 | Sarah Jackson | Behavior Technician | 234 Market Ave Sw Apt 49503, Grand Rapids, MI 49503-4080 | 2020-05-18 |
| 1043776404 | Sarah Lynn Jackson | Registered Nurse | 985 Forest Mills Rd, Waukon, IA 52172-7574 | 2019-02-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1295284552 | Sarah Jackson | Nurse Practitioner | 111 S Magnolia Dr Ste 10, Tallahassee, FL 32301-2956 | 2016-09-28 |
| 1124409891 | Sarah R Jackson | Social Worker | 625 W Elk Grove Blvd, Elk Grove Village, IL 60007-4261 | 2015-06-17 |
| 1154725299 | Sarah Jackson | Registered Nurse | 777 S Fry Rd Ste 105, Katy, TX 77450-2297 | 2014-10-17 |
| 1992082556 | Sarah Jackson | Nurse Practitioner | 406 W South Jordan Pkwy Ste 500, South Jordan, UT 84095-3945 | 2011-11-10 |
| 1407160195 | Sarah Brook Jackson | Counselor | Hc 61 Box 272-4, Sallisaw, OK 74955-9440 | 2010-08-05 |
| 1578898771 | Sarah Cooper Jackson | Pediatrics | 25 W. Hickman Road, Suite 300, Waukee, IA 50263-5018 | 2009-10-06 |
| 1780821165 | Sarah Danielle Jackson | Occupational Therapy Assistant | 104 Mullen Dr, De Queen, AR 71832-8047 | 2009-01-07 |
| Street Address |
6725 N GLENWOOD ST |
| City | BOISE |
| State | ID |
| Zip Code | 83714-1926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134134257 | Walgreen Co | Pharmacy | 6725 N Glenwood St, Boise, ID 83714-1926 | 2006-07-29 |
| 1225528300 | Trent Galloway | Pharmacist | 6725 N Glenwood St, Boise, ID 83714-1926 | 2018-05-15 |
| 1467737767 | Rico Lynn Pelazini | Pharmacist | 6725 N Glenwood St, Boise, ID 83714-1926 | 2011-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| 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 |
|---|---|---|---|---|
| 1740890094 | Emilie Heun | Pharmacist | 10700 W Ustick Rd, Boise, ID 83713-5103 | 2020-08-02 |
| 1861044810 | Lauren Devine | Pharmacist | 2887 S Abbs Ln, Boise, ID 83705-4197 | 2019-07-10 |
| 1235799982 | Richard Lynn Howard | Pharmacist | 10709 W Treeline Ct, Boise, ID 83713-1861 | 2019-06-15 |
| 1679034656 | Niloufar Niknam | Pharmacist | 945 N Maple Grove Rd Apt 105, Boise, ID 83704-4292 | 2019-03-30 |
| 1982180220 | Serena Raquel Hand | Pharmacist | 500 E Baybrook Ct, Boise, ID 83706-3916 | 2018-07-18 |
| 1831638725 | Miren Davis | Pharmacist | 509 E Parkcenter Blvd, Apt 210, Boise, ID 83706-6684 | 2017-02-13 |
| 1447708052 | Dennis W Nelson | Pharmacist | 999 N Curtis Rd Ste 102, Boise, ID 83706-1331 | 2016-09-13 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1104277193 | Megan Kathleen Turner | Pharmacist | 500 W Fort St (119), Boise, ID 83702-4501 | 2016-06-30 |
| 1538519749 | Kristofer Kelly- James Lark | Pharmacist | 4709 W Kendall St, Boise, ID 83706-2224 | 2016-06-18 |
| Find all providers in BOISE | ||||
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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.