DR. JERROD TACKETT (NPI# 1124627534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124627534 |
| Entity Type | Individual |
| Full Name | DR. JERROD TACKETT |
| Credential | PHARMD |
| Practice Address |
7000 Tim Price Way North Chesterfield VA 23225-6951 |
| Mailing Address |
14101 Summercreek Pl Chesterfield VA 23832-2435 |
| Practice Telephone | 5407975943 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202214247 | VA | Pharmacy Service Providers |
| Street Address |
7000 TIM PRICE WAY |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23225-6951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093944563 | Laura Katherine Zimmerman | Pharmacist | 7000 Tim Price Way, North Chesterfield, VA 23225-6951 | 2009-07-06 |
| 1033460860 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 7000 Tim Price Way, North Chesterfield, VA 23225-6951 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1659996023 | Amira Transport Inc. | Non-emergency Medical Transport (VAN) | 7400 Beaufont Springs Drive, Suite 300, North Chesterfield, VA 23225 | 2020-06-11 |
| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1619522000 | Spring Transport Inc | Non-emergency Medical Transport (VAN) | 2418 W Tremont Ct, Richmond, VA 23225 | 2019-08-02 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| 1760977540 | Marchett Hopkins | Counselor | 1601 Skilift Ln, Richmond, VA 23225 | 2018-06-25 |
| 1821582644 | Infinite Solutions Behavioral Services, LLC | Case Management | 6946 Forest Hill Ave Suite B, Richmond, VA 23225 | 2018-06-15 |
| 1922595230 | Andrea Ruth Steegmayer | Registered Nurse | Vcu Health System, 1250 E. Marshall Street, Richmond, VA 23225 | 2018-04-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| Find all providers in zip 23225 | ||||
| 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 |
|---|---|---|---|---|
| 1093343865 | Valerie Ng | Pharmacist | 10710 Midlothian Tpke Ste 430, North Chesterfield, VA 23235-4759 | 2020-03-29 |
| 1821401118 | Liana Scialdone | Pharmacist | 6423 Iron Bridge Pl, North Chesterfield, VA 23234-5265 | 2014-06-04 |
| 1083958946 | Lauren Cox | Pharmacist | 425 Grinell Dr, North Chesterfield, VA 23236-4535 | 2012-11-15 |
| 1295945145 | Marcie Annette Sanders | Pharmacist | 7228 Hull Street Rd, North Chesterfield, VA 23235-5804 | 2007-05-22 |
| 1558962217 | Cara M Tomasino | Pharmacist | 5700 Hopkins Rd, North Chesterfield, VA 23234-6631 | 2020-11-07 |
| 1548869456 | Cindy Cheng | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-10-21 |
| 1639788656 | Jordan Patricia Mitchell | Pharmacist | 4201 Meadowdale Blvd, North Chesterfield, VA 23234-5465 | 2020-07-27 |
| 1770191918 | Miranda Moore | Pharmacist | 2608 Buford Rd, North Chesterfield, VA 23235-3422 | 2020-07-14 |
| 1497373047 | Philip Zacharias Cerreto | Pharmacist | 20 Buford Rd, North Chesterfield, VA 23235-5202 | 2020-07-10 |
| 1639723356 | Alena Youngji Kim | Pharmacist | 1104 Courthouse Rd, North Chesterfield, VA 23236-3103 | 2019-07-31 |
| Find all providers in NORTH CHESTERFIELD | ||||
| City | NORTH CHESTERFIELD |
| Zip Code | 23225 |
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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.