CHERYL ANN JACKSON (NPI# 1043595622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043595622 |
| Entity Type | Individual |
| Full Name | CHERYL ANN JACKSON |
| Credential | RPH |
| Practice Address |
1410 N Bluff St Fulton MO 65251-2350 |
| Mailing Address |
215 Lee St Fulton MO 65251-1424 |
| Practice Telephone | 5735927030 |
| Mailing Telephone | 5735446162 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 31901 | TX | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 044607 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598052060 | Cheryl Jackson | Registered Nurse | 2001 Begole St, Flint, MI 48504-3197 | 2011-07-06 |
| 1013220268 | Cheryl Jackson | Nurse Practitioner | 5002 S Lake Houston Pkwy Ste 7, Houston, TX 77049-2631 | 2010-07-16 |
| 1285811273 | Cheryl Lynn Jackson | Spec/Tech, Cardiovascular | 20039 Oakwood Dr, Mokena, IL 60448-1397 | 2008-01-22 |
| 1548478217 | Cheryl R Jackson | Specialist/Technologist | 5243 Dalewood Dr, Cross Lanes, WV 25313-1748 | 2007-05-18 |
| 1144262288 | Cheryl A Jackson | Internal Medicine | 5901 Market St, Philadelphia, PA 19139-3117 | 2006-06-12 |
| 1831165166 | Cheryl Anne Jackson | Physician Assistant | 401 Shickshinney Lake Road, Huntington Mills, PA 18622-0046 | 2006-02-27 |
| 1467964320 | Cheryl Jackson | Counselor | 1341 N Cashua Dr, Florence, SC 29501-6939 | 2017-11-01 |
| 1851755243 | Cheryl Lynn Jackson | Occupational Therapist | 3057 Lorna Rd Ste 220, Birmingham, AL 35216-4518 | 2016-04-11 |
| 1508233081 | Cheryl Jackson | Community Health Worker | 1125 W 6th St, 103, Los Angeles, CA 90017-1833 | 2015-08-31 |
| 1366787806 | Cheryl Gwendolyn Jackson | Occupational Therapist | 680 S 4th St, Louisville, KY 40202-2407 | 2012-12-11 |
| Street Address |
1410 N BLUFF ST |
| City | FULTON |
| State | MO |
| Zip Code | 65251-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417131160 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1410 N Bluff St, Fulton, MO 65251-2350 | 2007-12-18 |
| 1629468756 | Ashley Miller | Pharmacist | 1410 N Bluff St, Fulton, MO 65251-2350 | 2015-01-27 |
| 1821375205 | Luanne Wooten Mcclure | Pharmacist | 1410 N Bluff St, Fulton, MO 65251-2350 | 2011-11-13 |
| 1689951048 | Barbara Jean Hauck | Pharmacist | 1410 N Bluff St, Fulton, MO 65251-2350 | 2011-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174008023 | East Central Missouri Behavioral Health Services, Inc. | Psychiatry & Neurology | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
| 1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
| 1922458454 | Benjamin Newell Crary | Family Medicine | 110 N Hosital Dr, Fulton, MO 65251 | 2016-06-15 |
| 1750763348 | Ssm Audrain Health Care, Inc | Clinic/Center | 350 Country Meadow Ln, Fulton, MO 65251 | 2015-06-19 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1881019750 | Mid-missouri Hearing and Balance, Inc. | Audiologist-Hearing Aid Fitter | 850 W. Hospital Drive, Ste. G, Fulton, MO 65251 | 2014-02-28 |
| 1861828105 | Justin Ryan Campbell | Occupational Therapist | 508 Saint Eunice Road, Fulton, MO 65251 | 2013-09-18 |
| 1417257536 | June A Dillon | Counselor | 2625 Fairway Dr., Suite E, Fulton, MO 65251 | 2010-10-22 |
| 1033354196 | Michael K Mcelhinney | Specialist/Technologist | One University Avenue, William Woods University - Athletics, Fulton, MO 65251 | 2008-12-03 |
| 1326299967 | Karanbir Sandhu | Dentist | 1393 Highway O, Fulton, MO 65251 | 2008-10-01 |
| Find all providers in zip 65251 | ||||
| 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 |
|---|---|---|---|---|
| 1285942748 | Christy Wheeler | Pharmacist | 1409 S Adams St Ste A, Fulton, MS 38843-7629 | 2010-09-18 |
| 1376728352 | James Hagg | Pharmacist | 503 South Second St., Fulton, NY 13069-4564 | 2008-01-08 |
| 1801077052 | Sam Z Chaar | Pharmacist | 110 E Broadway, Fulton, NY 13069-2300 | 2007-11-15 |
| 1629288352 | Michael Paul Rues | Pharmacist | 5798 Windy Meadows Ln, Fulton, MO 65251-5442 | 2007-05-23 |
| 1659499192 | Zaven K Balian | Pharmacist | 2078 State Rte 481 State 57, Fulton, NY 13069 | 2007-03-26 |
| 1891859435 | Michael Joseph Branish | Pharmacist | 503 S 2nd St, Fulton, NY 13069-2901 | 2006-12-20 |
| 1356434930 | Evans Drug Company Pllc | Pharmacist | 214 Lake Street, Fulton, KY 42041 | 2006-10-02 |
| 1801806179 | Reginald David Woolf | Pharmacist | 212 Lake St, Fulton, KY 42041-1544 | 2006-08-09 |
| 1689662108 | David Stewart Prater Jr. | Pharmacist | 208 Lake St, Fulton, KY 42041-1544 | 2005-10-10 |
| 1871587642 | Tjt Pharmacy, Inc | Pharmacist | 1016 4th St, Fulton, IL 61252-1716 | 2005-09-07 |
| Find all providers in FULTON | ||||
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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.