MRS. TERESA B. JACKSON (NPI# 1831317528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831317528 |
| Entity Type | Individual |
| Full Name | MRS. TERESA B. JACKSON |
| Credential | RPH. |
| Practice Address |
Lower Level Reynolds Gym Wingate Road Lower Level Reynolds Gym Wingate Road Winston-salem NC 27109 |
| Mailing Address |
5665 Greenhill Dr Pfafftown NC 27040-9557 |
| Practice Telephone | 3367585218 |
| Practice Fax Number | 3367586054 |
| Mailing Telephone | 3367585218 |
| Mailing Fax Number | 3367586054 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 07539 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336485390 | Teresa Jackson | Rehabilitation Practitioner | 2244 Revere St, North Las Vegas, NV 89030-4011 | 2012-12-19 |
| 1972865442 | Teresa Alice Jackson | Contractor | 41 Green St, Valley Stream, NY 11580-4815 | 2012-06-11 |
| 1477881696 | Teresa Danielle Jackson | Chiropractor | 5304 Panola Industrial Blvd Ste E, Decatur, GA 30035-4065 | 2009-11-29 |
| 1700982444 | Teresa L Jackson | Family Medicine | 17880 147th St Se, Monroe, WA 98272-1014 | 2006-09-16 |
| 1649744343 | Teresa M Jackson | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2019-01-15 |
| 1306372842 | Teresa Lynne Jackson | Nurse Practitioner | 3450 N Rock Rd Ste 503, Wichita, KS 67226-1355 | 2017-05-03 |
| 1558780478 | Teresa Jackson | Spec/Tech, Pathology | 4010 S Mulberry St, Pine Bluff, AR 71603-7000 | 2014-04-08 |
| 1245582741 | Teresa B Jackson | Audiologist-Hearing Aid Fitter | 2001 Lincoln Dr W, Suite E, Marlton, NJ 08053-1531 | 2012-10-08 |
| 1194001677 | Teresa Leigh Jackson | Nurse Practitioner | 222 22nd Ave N, Suite 400, Nashville, TN 37203 | 2011-10-27 |
| 1700016300 | Teresa C Jackson | Nurse Practitioner | 2780 Bob Wallace Ave Sw, Huntsville, AL 35805-4104 | 2009-07-17 |
| Street Address |
LOWER LEVEL REYNOLDS GYM WINGATE ROAD LOWER LEVEL REYNOLDS GYM WINGATE ROAD |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394710 | Katherine Nicole Best | Dietitian, Registered | 1834 Wake Forest Road, Sutton Sports Performance Center, Room 218, Winston Salem, NC 27109 | 2020-04-08 |
| 1720120470 | Carole Maxwell Stuart | Family Medicine | Lower Level Reynolds Gym-wingate Rd., Wingate Rd., Winston-salem, NC 27109 | 2007-02-12 |
| 1548302292 | Clarice Roth | Nurse Practitioner | Lower Level Reynolds Gym-wingate Road, Wingate Road, Winston-salem, NC 27109 | 2007-02-12 |
| 1285717694 | Wake Forest University | Pharmacy | Lwr Level Reynolds Gym Wingate Rd, Winston-salem, NC 27109 | 2006-10-23 |
| 1982830907 | Steven Miller Heffner | Family Medicine | 1834 Wake Forest Dr, Winston Salem, NC 27109-6000 | 2009-06-04 |
| 1114986403 | Linday S Peral | Family Medicine | 1834 Wake Forest Rd, George C Mackie Health Center, Winston Salem, NC 27109-6000 | 2006-03-23 |
| 1629685300 | Shalyn Patel | Physician Assistant | 1834 Wake Forest Rd, Winston Salem, NC 27109-6000 | 2020-09-28 |
| 1912429481 | Holly Ann Heath | Counselor | 1834 Wake Forest Rd, Winston Salem, NC 27109-6000 | 2017-07-17 |
| 1598216749 | Scott Girard Spernoga | Specialist/Technologist | 1834 Wake Forest Rd, Winston Salem, NC 27109-6000 | 2016-10-21 |
| 1629423181 | Beverly Nesbit | Dietitian, Registered | 1834 Wake Forest Rd, 1158 Worrell Professional Center, Winston Salem, NC 27109-6000 | 2016-05-03 |
| Find all providers in zip 27109 | ||||
| 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 |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1083040430 | Jennifer Nichole Darago | Pharmacist | 500 Park Ridge Ct Apt B, Winston-salem, NC 27104 | 2013-09-17 |
| 1245510064 | David Price | Pharmacist | 193 N Summit Square Blvd, Winston-salem, NC 27105-1476 | 2011-08-24 |
| 1376837906 | Stephenie Konkler | Pharmacist | 5420 University Parkway, T1077, Winston-salem, NC 27105-1366 | 2011-05-31 |
| 1700842465 | Suzanne Wilkie Bridges | Pharmacist | Department of Veteran's Affairs, 190 Kimel Park, Winston-salem, NC 27103 | 2006-04-21 |
| 1073895421 | Monica Lynn Pipes | Pharmacist | 12311 N Nc Hwy 150, Winston-salem, NC 27127 | 2011-09-12 |
| 1134408685 | Adam Szabat | Pharmacist | 3539 Patterson Avenue, Winston-salem, NC 27105 | 2011-08-15 |
| 1205120839 | Ray Donskey Courtney IIi | Pharmacist | 3333 Silas Creek Parkway, 6th Floor, Winston-salem, NC 27103 | 2011-05-31 |
| 1376508911 | Wade Gibbs | Pharmacist | 190 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1679173611 | Keith Mcbrayer Hunt | Pharmacist | 630 Bostic Sunshine Hwy, Bostic, NC 28018-9779 | 2020-10-29 |
| 1518566066 | Amitkumar Prahaladbhai Patel | Pharmacist | 5450 New Hope Commons Dr # 2137, Durham, NC 27707-9716 | 2020-10-25 |
| 1619576568 | Efthalia Retsios Rodriguez | Pharmacist | 7860 Rea Rd # 16466, Charlotte, NC 28277-6502 | 2020-10-21 |
| 1578160149 | Brett Daniel England | Pharmacist | 401 Glenwood Ave Ste 101, Raleigh, NC 27603-1219 | 2020-10-06 |
| 1215544580 | Sarah Payne Maddox | Pharmacist | 1 Hospital Dr Rm 2231, Asheville, NC 28801-4550 | 2020-09-30 |
| 1093321739 | James Doyle Richardson | Pharmacist | 1072 N Main St Ste 103, Walnut Cove, NC 27052-9312 | 2020-09-18 |
| 1922614643 | Sharisse Berry | Pharmacist | 425 Sawyers Mill Rd Apt 306, Charlotte, NC 28262-1877 | 2020-09-17 |
| 1912512997 | Sheri Mitten | Pharmacist | 202 Swordgate Dr, Cary, NC 27513-1630 | 2020-09-15 |
| 1669087953 | Elton Wayne Long | Pharmacist | 5106 Nc Highway 87 S Ste 100, Fayetteville, NC 28306-3424 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON-SALEM |
| Zip Code | 27109 |
Please comment or provide details below to improve the information on MRS. TERESA B. JACKSON.
| 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.