MS. FATIMA JACKSON (NPI# 1003206590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003206590 |
| Entity Type | Individual |
| Full Name | MS. FATIMA JACKSON |
| Practice Address |
2527 Shoppers Lane, Cheltenham Square Mall Philadelphia PA 19150 |
| Practice Telephone | 2676283281 |
| Practice Fax Number | 2676283281 |
| Mailing Telephone | 2676283281 |
| Mailing Fax Number | 2676283281 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437922 | Fatima Jackson | Rehabilitation Practitioner | 940 Avenue 64, Pasadena, CA 91105-2711 | 2020-05-01 |
| 1528579653 | Fatima Jackson | Specialist/Technologist | 417 E Tierra Buena Ln, Phoenix, AZ 85022-3034 | 2017-10-16 |
| Street Address |
2527 SHOPPERS LANE, CHELTENHAM SQUARE MALL |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821589615 | Covenant House, Inc | Clinic/Center | 2385 W Cheltenham Ave., Philadelphia, PA 19150 | 2018-05-29 |
| 1326553074 | Prime Health Pharmacy LLC | Pharmacy | 1514 Wadsworth Ave, Philadelphia, PA 19150 | 2017-12-04 |
| 1609319797 | Ivy Hill Rehab Center LLC | Skilled Nursing Facility | 140 Ivy Hill Road, Wyndmoor, PA 19150 | 2016-11-22 |
| 1831563857 | Kutest Kids | Early Intervention Provider Agency | 7811 Cedarbrook Avenue, Philadelphia, PA 19150 | 2015-11-16 |
| 1487044020 | Stefanie Black | Pharmacy Technician | 2527 Target Pharmacy, Philadelphia, PA 19150 | 2015-02-04 |
| 1215351762 | Hilltop Medical Associates, PC | General Practice | 2350 W. Cheltenham Ave, Philadelphia, PA 19150 | 2014-02-04 |
| 1801219472 | Fatima Bangura | Registered Nurse | Excel Medical Center, LLC, 7515 Stenton Avenue, Philadelphia, PA 19150 | 2014-02-01 |
| 1386082089 | Enjalee Jennifer Thomas-finnagan | Behavioral Analyst | 8324 Temple Rd, Phila, PA 19150 | 2013-06-05 |
| 1235572538 | Blessy Mathew | Nurse Practitioner | 2385 Cheltenham Avenue, Philadelphia, PA 19150 | 2013-04-17 |
| 1942544697 | Walter L. Patterson Jr. | General Practice | 1501 E. Wadsworth Ave., Philadelphia, PA 19150 | 2012-11-19 |
| Find all providers in zip 19150 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285126862 | Kisha Monique Blackmon | Pharmacy Technician | 5730 Woodcrest Ave, Philadelphia, PA 19131-2225 | 2018-05-31 |
| 1487044020 | Stefanie Black | Pharmacy Technician | 2527 Target Pharmacy, Philadelphia, PA 19150 | 2015-02-04 |
| 1154711851 | Christina Vanburen | Pharmacy Technician | 712 Landis St, Philadelphia, PA 19124-3011 | 2015-02-02 |
| 1023408838 | Elona Gjini | Pharmacy Technician | 470 Gerhard St, Philadelphia, PA 19128-3457 | 2015-02-01 |
| 1720322670 | Tieraney Simmons | Pharmacy Technician | 4417 Richmond St, Philadelphia, PA 19137-2026 | 2012-11-15 |
| 1992096051 | Rath Sun | Pharmacy Technician | 2843 Bittern Place, Philadelphia, PA 19142 | 2011-04-25 |
| 1407073307 | Aisha Dark | Pharmacy Technician | 6008 W Thompson St, Philadelphia, PA 19151-4436 | 2007-04-20 |
| 1265657118 | Betty Beckham | Pharmacy Technician | 1949 N 32nd St, Apt. B, Philadelphia, PA 19121-1705 | 2007-04-16 |
| 1124418868 | Angela Joy Luczejko | Pharmacy Technician | 1 Mifflin St, Philadelphia, PA 19148-2017 | 2015-02-03 |
| 1780074492 | Renee Wilson | Pharmacy Technician | 7400 Bustleton Ave, Philadelphia, PA 19152-4312 | 2015-02-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19150 |
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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.