MAUREEN ANN JACKSON (NPI# 1811516594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811516594 |
| Entity Type | Individual |
| Full Name | MAUREEN ANN JACKSON |
| Credential | PHARM. D |
| Practice Address |
5308 W Irlo Bronson Memorial Hwy Kissimmee FL 34746-4754 |
| Mailing Address |
1108 Oak Pond Dr Celebration FL 34747-4236 |
| Practice Telephone | 4073909431 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS44192 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932448743 | Maureen Khadija Jackson | Licensed Practical Nurse | 1510 Hogan Ct, Concord, NC 28025-0240 | 2013-02-14 |
| Street Address |
5308 W IRLO BRONSON MEMORIAL HWY |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34746-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235179938 | Faye Anne Ellis | Nurse Practitioner | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2006-06-08 |
| 1346869153 | Shannon Bailey | Pharmacist | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2020-04-11 |
| 1528491370 | Opeyemi Oludele Aina-white | Nurse Practitioner | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2013-08-15 |
| 1093055659 | Lyne G Pierre | Nurse Practitioner | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2013-02-19 |
| 1336484153 | Elizabeth Erin Chaney | Nurse Practitioner | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2012-12-05 |
| 1295031094 | Judeline Docteur | Nurse Practitioner | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2011-01-27 |
| 1528162492 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 5308 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-4754 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548730195 | Suma Joseph Kurian | Nurse Practitioner | Florida Lung Asthma Lung Specialists, 3480 Polynesian Isle Blvd, Kissimmee, FL 34746 | 2018-11-27 |
| 1538663240 | Terri Alexander Charlock | Specialist/Technologist | 5314 Barefoot Path, Kissimmee, FL 34746 | 2018-03-19 |
| 1811404452 | Debbie Camille Carvalho | Psychologist | 4449 Great Habor Lane, Kissimmee, FL 34746 | 2018-01-04 |
| 1679096390 | Sheyla Marie Vargas | Behavior Technician | 4118 Shelter Bay Dr, Kissimmee, FL 34746 | 2017-07-25 |
| 1013464601 | Falguni Patel | Pharmacist | 3298 S John Young Parkway, Kissimmee, FL 34746 | 2016-09-01 |
| 1942656004 | Kheira Liz Rodriguez | Case Manager/Care Coordinator | 198 London Dr, Kissimme, FL 34746 | 2016-05-09 |
| 1821456005 | Irma Valentin | Counselor | 4166 Key Colony Pl, Kissimmee, FL 34746 | 2016-02-03 |
| 1780050310 | Catherine M Alfieri | Physician Assistant | 119 Sunny Oak Trl, Kissimmee, FL 34746 | 2015-08-18 |
| 1396043956 | Mary Staffa | Speech-Language Pathologist | 2222 Granger Ave, Kissimmee, FL 34746 | 2011-03-07 |
| 1457661787 | Melita Cogburn | Counselor | 111 Monument Ave, Suite 509, Kissimmee, FL 34746 | 2010-10-20 |
| Find all providers in zip 34746 | ||||
| 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 |
|---|---|---|---|---|
| 1417561549 | Chinyere Osuji | Pharmacist | 8400 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1085 | 2020-09-05 |
| 1720699978 | Angela Nicole Bray | Pharmacist | 1530 Celebration Blvd Ste 100, Kissimmee, FL 34747-5165 | 2020-08-12 |
| 1558907584 | Raif G Habib Mowwad | Pharmacist | 2855 N Old Lake Wilson Rd, Kissimmee, FL 34747-1821 | 2019-11-25 |
| 1255975009 | Linda Maria Mendes | Pharmacist | 3250 Vineland Rd # 1, Kissimmee, FL 34746-4893 | 2019-11-05 |
| 1013464601 | Falguni Patel | Pharmacist | 3298 S John Young Parkway, Kissimmee, FL 34746 | 2016-09-01 |
| 1164892105 | Shayra Marrero | Pharmacist | 4154 Key Colony Pl, Kissimmee, FL 34746-1851 | 2015-10-02 |
| 1033526298 | Robert Pacha | Pharmacist | 3367 W Vine St # 203, Kissimmee, FL 34741-4665 | 2014-07-18 |
| 1235477407 | Preeti Agarwal | Pharmacist | 1980 E Osceola Pkwy, Kissimmee, FL 34743-8600 | 2013-01-23 |
| 1558609040 | Ana Paula Machado Bernardi | Pharmacist | 2005 E Osceola Pkwy, Kissimmee, FL 34743 | 2013-01-18 |
| 1376880252 | Joel Rios | Pharmacist | 3154 Hanging Moss Cir, Kissimmee, FL 34741-7624 | 2013-01-11 |
| Find all providers in KISSIMMEE | ||||
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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.