DR. BEVERLY HIGH JACKSON (NPI# 1245507813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245507813 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY HIGH JACKSON |
| Credential | DPH |
| Practice Address |
2950 S Blue Angel Pkwy Pensacola FL 32506-6905 |
| Mailing Address |
2014 Crown Pointe Blvd Pensacola FL 32506-8398 |
| Practice Telephone | 8504543001 |
| Mailing Telephone | 8503568344 |
| Enumeration Date | 2011-11-25 |
| Last Update Date | 2011-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 10137 | AL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 5165 | TN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PS44559 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134608391 | Beverly J Jackson | Registered Nurse | 817 Briarcreek Dr, Baytown, TX 77521-3473 | 2018-08-08 |
| 1023548591 | Beverly Jackson | Nurse Practitioner | 608 Pine Pass Circle, Mineral Bluff, GA 30559 | 2017-06-15 |
| 1336465913 | Beverly P Jackson | Nutritionist | 19 Silk St, Norwalk, CT 06850-2916 | 2010-04-08 |
| 1891263125 | Beverly Jackson | Speech-Language Pathologist | 4511 Bestor Dr, Rockville, MD 20853-2100 | 2018-11-05 |
| 1154898468 | Beverly Jackson | Case Manager/Care Coordinator | 2017 Hudson Ln, Monroe, LA 71201-5705 | 2018-10-25 |
| 1871902247 | Beverly Jackson | Community Based Residential Treatment Facility, Mental Illness | 1100 W 6th Ave, Gary, IN 46402-1711 | 2014-08-10 |
| 1477814424 | Beverly Yvonne Jackson | Registered Nurse | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2012-06-06 |
| 1891052619 | Beverly L Jackson | Occupational Therapist | 1860 Pennsylvania Ave, Mcdonough, GA 30253-9117 | 2012-04-18 |
| 1750606539 | Beverly Anne Jackson | Counselor | 77 Cortland Ave, San Francisco, CA 94110-5435 | 2010-04-05 |
| 1134254618 | Beverly Jackson | Nurse Practitioner | 2065 Herschel St, Jacksonville, FL 32204-3817 | 2007-02-23 |
| Street Address |
2950 S BLUE ANGEL PKWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32506-6905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780820126 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 2950 S Blue Angel Pkwy, Pensacola, FL 32506-6905 | 2009-01-06 |
| 1992127724 | Lance Ryan Staton | Pharmacist | 2950 S Blue Angel Pkwy, Pensacola, FL 32506-6905 | 2014-01-14 |
| 1356636294 | Doty Roye | Pharmacist | 2950 S Blue Angel Pkwy, T-2445, Pensacola, FL 32506-6905 | 2011-06-17 |
| 1982998233 | Matthew D Etheredge | Pharmacist | 2950 S Blue Angel Pkwy, T-2445, Pensacola, FL 32506-6905 | 2011-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332942 | Abigail Irene Dudek | Behavior Technician | 6800 West Us-98, Pensacola, FL 32506 | 2020-06-26 |
| 1053957274 | Melissa Marie Swango | Technician | 3 Usher Cir, Pensacola, FL 32506 | 2019-11-22 |
| 1215479506 | Kerry Jo Pham | Advanced Practice Midwife | 225 N New Warrington Rd, Pensacola, FL 32506 | 2016-11-17 |
| 1750761375 | Congleton Eye Care, LLC | Optometrist | 4600 Mobile Hwy, Suite 122, Pensacola, FL 32506 | 2015-06-09 |
| 1033312293 | Rogelio Tridanio Martinez Sr. | Pain Medicine | 4806 Mobile Highway, Suite D, Pensacola, FL 32506 | 2007-06-06 |
| 1215023726 | Martha Goff | Pharmacist | 50 S. Blue Angel Parkway, Pensacola, FL 32506 | 2006-10-04 |
| 1881703635 | John Daniel Hodge | Dentist | 4800 W Fairfield Dr, Pensacola, FL 32506 | 2006-08-29 |
| 1417066275 | Fairfield Dental Center | Dentist | 4800 W. Fairfield Drive, Pensacola, FL 32506 | 2006-08-29 |
| 1942277793 | Phillip Martine Drlicka | Dentist | 901 N Warrington Rd, Pensocola, FL 32506 | 2006-03-01 |
| 1083694186 | Lester Shawn Bowling | Internal Medicine | 321 South Fairfield Dr, Pensacola, FL 32506 | 2006-01-17 |
| Find all providers in zip 32506 | ||||
| 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 |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1003424821 | Susan Mcalpin | Pharmacist | 4350 Bayou Blvd Ste 5, Pensacola, FL 32503-2697 | 2020-07-17 |
| 1164052080 | Kelly Sue Mccurdy | Pharmacist | 3439 N 12th Ave Ste Aandb, Pensacola, FL 32503-4068 | 2020-01-20 |
| 1851940944 | Tuong-my Thi Nguyen | Pharmacist | 1005 Black Walnut Trl, Pensacola, FL 32514-1914 | 2019-09-10 |
| 1609359520 | Alton Wilson | Pharmacist | 640 Calderwood Ct, Pensacola, FL 32534-1190 | 2018-09-07 |
| 1053805499 | Delaney Wren | Pharmacist | 790 Veterans Way Rm 1b119, Pensacola, FL 32507-1000 | 2018-06-19 |
| 1396262283 | Jacob Wayde Corlew | Pharmacist | Naval Hospital Pensacola 6000 Us 98, Pensacola, FL 32512-0001 | 2017-08-23 |
| 1336696061 | Max Edwin Greenlee | Pharmacist | 13400 Valerie Dr, Pensacola, FL 32507-8745 | 2016-09-11 |
| 1598119844 | Matthew Jean Savoie | Pharmacist | 8141 Heirloom Dr, Pensacola, FL 32514-3999 | 2016-04-22 |
| 1902275837 | Rx View, LLC | Pharmacist | 713 Alfonso St, Pensacola, FL 32505-1501 | 2015-09-22 |
| Find all providers in PENSACOLA | ||||
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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.