SHAWN JACKSON (NPI# 1174054068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174054068 |
| Entity Type | Individual |
| Full Name | SHAWN JACKSON |
| Practice Address |
300 Pullman St Bldg G Livermore CA 94551-9756 |
| Practice Telephone | 9259606996 |
| Mailing Telephone | 9259606996 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 60360 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393796 | Shawn Pierre Jackson | Counselor | 3242 S Lakewood Ave, 2f, Tulsa, OK 74135-4910 | 2016-05-04 |
| 1619305380 | Shawn Jackson | Counselor | 196 Sussex Dr, Monroe, LA 71203-3324 | 2013-10-16 |
| 1578027736 | Shawn Rene'e Jackson | Occupational Therapy Assistant | 201 E Thompson St, Decatur, TX 76234-2736 | 2019-01-22 |
| 1528413911 | Shawn Jackson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-05-04 |
| 1780078915 | Shawn Jackson | Anesthesiology | 300 Longwood Ave, Boston Childrens Hospital, Hunnewell Bldg, Pavilion 129, Boston, MA 02115-5724 | 2015-03-25 |
| 1225391352 | Shawn D. Jackson | Nurse Practitioner | 125 S 9th St, Philadelphia, PA 19107-5125 | 2012-06-22 |
| 1487922837 | Shawn A Jackson | Counselor | 10532 N. Port Washington Rd., Mequon, WI 53092 | 2011-12-13 |
| 1437441276 | Shawn D Jackson | Physical Therapist | 777 Bannock St, Denver, CO 80204-4507 | 2011-05-12 |
| 1053577825 | Shawn E Jackson | Physical Therapist | 2701 Larsen Rd, Suite 111, Green Bay, WI 54303-4863 | 2008-07-31 |
| 1841479342 | Shawn Nichole Jackson | Occupational Therapy Assistant | 1415 Route 70 E, Suite 103, Cherry Hill, NJ 08034-2210 | 2007-10-31 |
| Street Address |
300 PULLMAN ST BLDG G |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94551-9756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932311404 | Emma June | Pharmacist | 300 Pullman St Bldg G, 2nd Floor, Livermore, CA 94551-9756 | 2007-05-04 |
| 1609300540 | Chibuzor Mark-ekpendu | Pharmacist | 300 Pullman St Bldg G, Livermore, CA 94551-9756 | 2017-04-18 |
| 1710411806 | Sneha Tony Joseph | Pharmacist | 300 Pullman St Bldg G, Livermore, CA 94551-9756 | 2017-04-14 |
| 1457884751 | Tin Nguyen | Pharmacist | 300 Pullman St Bldg G, Livermore, CA 94551-9756 | 2017-04-04 |
| 1235662693 | Permjeet Kang | Pharmacist | 300 Pullman St Bldg G, Livermore, CA 94551-9756 | 2017-04-04 |
| 1205368040 | Jessy Vellian | Pharmacist | 300 Pullman St Bldg G, Livermore, CA 94551-9756 | 2017-03-31 |
| 1720510712 | Douglas Lee | Pharmacist | 300 Pullman St Bldg G, Livermore, CA 94551-9756 | 2017-03-30 |
| 1568994424 | Solita Dytioco | Pharmacist | 300 Pullman St Bldg G, Kaiser Permanente, Livermore, CA 94551-9756 | 2017-03-30 |
| 1649702598 | Peter Wong | Pharmacist | 300 Pullman St Bldg G, Livermore, CA 94551-9756 | 2017-03-30 |
| 1225560337 | Regina Loucks | Pharmacist | 300 Pullman St Bldg G, Livermore, CA 94551-9756 | 2017-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700370897 | Mauricio Perez De La Vega Sr. | Behavioral Analyst | 564 Heligan Ln Unit 3, Livermore, CA 94551 | 2018-06-21 |
| 1528592003 | Angel Qin | Pharmacist | 7 Meritage Common, Unit 203, Livermore, CA 94551 | 2017-04-12 |
| 1538690169 | Pradeepkumar R Patel | Pharmacist | 300-g Pullman Street, Livermore, CA 94551 | 2017-03-24 |
| 1306398987 | Janella Rae Palao Bautista | Counselor | Sierra School At Livermore (lawerence Elementary), 2451 Portola Ave, Livermore, CA 94551 | 2016-10-28 |
| 1255887006 | Eye Candy, L.L.C. | Optometrist | 4423 First Street, Livermore, CA 94551 | 2016-08-31 |
| 1144675869 | Aic Health Care Inc. | Home Health | 4049 First St Ste 229, Livermore, CA 94551 | 2016-05-02 |
| 1376943704 | Danielle Leduc | Social Worker | 6112 Water Lily Cmns Apt 107, Livermore, CA 94551 | 2014-09-04 |
| 1326463597 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2177 Las Positas Ct Ste Bc, Livermore, CA 94551 | 2014-02-25 |
| 1285055939 | Tram Hoa Huynh | Pharmacist | 300 Pullman St., Livermore, CA 94551 | 2013-12-26 |
| 1902146806 | Amy Suezaki | Pharmacist | 300a Pullman St, Livermore, CA 94551 | 2013-03-01 |
| Find all providers in zip 94551 | ||||
| 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 |
|---|---|---|---|---|
| 1467067637 | Rabia Rana | Pharmacist | 1620 First St, Livermore, CA 94550-4363 | 2020-09-14 |
| 1215565650 | David A Valencia | Pharmacist | 505 Alameda Dr, Livermore, CA 94551-1501 | 2020-03-31 |
| 1528592003 | Angel Qin | Pharmacist | 7 Meritage Common, Unit 203, Livermore, CA 94551 | 2017-04-12 |
| 1811429608 | Yen P Lau | Pharmacist | 300 Pullman St Bldg G2nd, Livermore, CA 94551-9756 | 2017-03-30 |
| 1194257303 | Raymond Lau | Pharmacist | 300 Pullman, Livermore, CA 94551-0001 | 2017-03-28 |
| 1235660754 | Gayatri Aachi | Pharmacist | 300 Pullman St Bldg A1, Livermore, CA 94551-9756 | 2017-03-26 |
| 1538690169 | Pradeepkumar R Patel | Pharmacist | 300-g Pullman Street, Livermore, CA 94551 | 2017-03-24 |
| 1194186718 | Chaotan Hu | Pharmacist | 300 Pullman St Fl A2, Livermore, CA 94551-9756 | 2016-03-09 |
| 1376902403 | Karamjeet K Sheikhon | Pharmacist | 1869 Whipoorwill Ct, Livermore, CA 94551-8744 | 2016-02-17 |
| 1972976728 | Shon Gulati | Pharmacist | 3016 Kennedy St, Livermore, CA 94551-5928 | 2015-11-02 |
| Find all providers in LIVERMORE | ||||
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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.