MR. RYAN MICHAEL JACKSON


Address: 2501 Cornhusker Dr, South Sioux City, NE 68776-3910
Phone: 4024943021

MR. RYAN MICHAEL JACKSON (NPI# 1811125131) 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) 1811125131
Entity Type Individual
Full Name MR. RYAN MICHAEL JACKSON
Credential PHARM.D
Practice Address 2501 Cornhusker Dr
South Sioux City
NE 68776-3910
Mailing Address 2501 Cornhusker Plaza
South Sioux City
NE 68776
Practice Telephone 4024943021
Practice Fax Number 4024944969
Mailing Telephone 4024943021
Mailing Fax Number 4024944969
Enumeration Date 2009-06-25
Last Update Date 2009-06-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 11732 NE Pharmacy Service Providers

Other Providers RYAN JACKSON

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1407318223 Ryan C Jackson Student in an Organized Health Care Education/Training Program 22 S Greene St Rm N3e09, Baltimore, MD 21201-1595 2019-04-01
1164989257 Ryan Jackson Occupational Therapy Assistant 535 S Elm St, Itasca, IL 60143-2187 2019-02-25
1194292060 Ryan Jackson Pharmacist 960 Ross St, Heflin, AL 36264-1164 2018-10-30
1699153130 Ryan Patrick Jackson Student in an Organized Health Care Education/Training Program 300 Pasteur Dr, Rm Hc435, Mc 5207, Stanford, CA 94305-2200 2015-05-18
1609216316 Ryan L Jackson Speech-Language Pathologist 151 Southwest Dr, Jonesboro, AR 72401-5828 2013-06-26
1184060188 Ryan Christopher Jackson Emergency Medicine 22 Bramhall St, Portland, ME 04102-3134 2013-05-16
1710114582 Ryan Scott Jackson Otolaryngology 4921 Parkview Pl, Ste 11a, Saint Louis, MO 63110-1032 2009-06-18

Office Location

Street Address 2501 CORNHUSKER DR
City SOUTH SIOUX CITY
State NE
Zip Code 68776-3910

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083650964 Hy Vee Inc Durable Medical Equipment & Medical Supplies 2501 Cornhusker Dr, South Sioux City, NE 68776-3910 2006-06-21
1528519683 Alisha Thompson Dietitian, Registered 2501 Cornhusker Dr, South Sioux City, NE 68776-3910 2016-10-24
1225459621 Corrinna Lenort Dietitian, Registered 2501 Cornhusker Dr, South Sioux City, NE 68776-3910 2014-01-02
1184971319 Rebecca Strong Pharmacist 2501 Cornhusker Dr, South Sioux City, NE 68776-3910 2012-08-07
1184956724 Hy-vee Community/Behavioral Health 2501 Cornhusker Dr, South Sioux City, NE 68776-3910 2010-02-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437704251 Integrated Diagnostics Pathology 201 East 4th Street, Suite 203, South Sioux City, NE 68776 2019-08-08
1003374711 Riverview Surgical Center LLC Clinic/Center 201 E 4th Street, South Sioux City, NE 68776 2019-03-12
1144777665 Emily Malchow Speech-Language Pathologist 820 E. 29th St., South Sioux City, NE 68776 2016-09-01
1477856011 Hospice of Siouxland Hospice Care, Community Based 3220 Plaza Dr Ste D, South Sioux City, NE 68776 2010-12-20
1114101839 Stacy Erin Rose Counselor 100 West 29th St, Suite 319, South Sioux, NE 68776 2007-12-18
1194867663 Fern Norris Counselor 625 East 39th Street, South Sioux City, NE 68776 2007-02-13
1689750937 Elizabeth Joan Munch Dentist 3220 Plaza Dr., Suite B, South Sioux City, NE 68776 2006-10-30
1841376191 Douglas M. Barr Dentist 3220 Plaza Drive Ste B, So Sioux City, NE 68776 2006-10-30
1336245521 Wal-mart Stores, Inc. Technician/Technologist 1601 Cornhuskers Drive, South Sioux City, NE 68776 2006-09-15
1316049752 Redlers Prof Phcy Inc Durable Medical Equipment & Medical Supplies 1010 W 29th St, Ste 214, South Sioux City, NE 68776 2006-09-05
Find all providers in zip 68776

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023361011 Sonya Lynette Sedahl Pharmacist 2501 Cornhusker Plaza, Hy-vee Pharmacy #1620, South Sioux City, NE 68776-3910 2012-10-16
1598383028 Kayla Guy Pharmacist 1030 W 21st St, South Sioux City, NE 68776-2661 2020-07-10
1356816524 Syra Ruhl Pharmacist 1030 W 21st St, South Sioux City, NE 68776-2661 2018-10-03
1902303977 Mathew William Macziewski Pharmacist 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 2018-04-06
1093222150 Jamie Thoene Pharmacist 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 2018-01-10
1215443478 Kristin Rumsey Pharmacist 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 2017-12-22
1316452485 Tammy J Cox Pharmacist 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 2017-12-11
1215448436 Jeremy Wells Pharmacist 1030 W 21st St, South Sioux City, NE 68776-2661 2017-10-15
1184971319 Rebecca Strong Pharmacist 2501 Cornhusker Dr, South Sioux City, NE 68776-3910 2012-08-07
1467729103 Tally Shannon Stark Pharmacist 1030 W 21st St, South Sioux City, NE 68776-2661 2011-11-23
Find all providers in SOUTH SIOUX CITY

Competitor

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City SOUTH SIOUX CITY
Zip Code 68776

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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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