SUSAN JACKSON (NPI# 1407316003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407316003 |
| Entity Type | Individual |
| Full Name | SUSAN JACKSON |
| Credential | PHARMACIST |
| Practice Address |
1022 Sealyham Ct Reynoldsburg OH 43068-4763 |
| Practice Telephone | 6142082241 |
| Mailing Telephone | 6142082241 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03117343 | OH | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PHARMACIST LICENSE | 03117343 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831624113 | Susan Jackson | Speech-Language Pathologist | 616 W Virginia Ave, Sebring, OH 44672-1142 | 2017-04-25 |
| 1487064986 | Susan Jackson | Social Worker | 425 W 48th St, 4k, New York, NY 10036 | 2014-05-06 |
| 1538476601 | Susan Jackson | Pharmacist | 5540 S 900 E, Salt Lake City, UT 84117-7206 | 2010-09-09 |
| 1609042639 | Susan Jackson | Physical Therapist | 3275 Soft Breeze Cir, West Melbourne, FL 32904-7710 | 2008-04-30 |
| 1073781613 | Susan Jean Jackson | Physical Therapist | 901 W 9th St Apt 414, Austin, TX 78703-4629 | 2008-02-18 |
| 1699951368 | Susan Elizabeth Jackson | Nurse Practitioner | 20 Mair Ave, Totowa, NJ 07512-2313 | 2008-01-12 |
| 1780749671 | Susan Marie Jackson | Family Medicine | 25066 Sr 11, Hallstead, PA 18822 | 2006-12-22 |
| 1871048520 | Susan Marie Jackson | Case Manager/Care Coordinator | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2016-08-23 |
| 1760835300 | Susan H Jackson | Marriage & Family Therapist | 8350 Archibald Ave Ste 125, Rancho Cucamonga, CA 91730-7701 | 2016-07-19 |
| 1962877431 | Susan Elizabeth Jackson | Nurse Practitioner | 1365 Beverly Rd, 2nd Floor, Mc Lean, VA 22101-3624 | 2015-12-09 |
| Street Address |
1022 SEALYHAM CT |
| City | REYNOLDSBURG |
| State | OH |
| Zip Code | 43068-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107235 | Laura Lynn Mason | In Home Supportive Care | 1788 Pickering Drive, Reynoldburg, OH 43068 | 2020-09-03 |
| 1952929267 | Devon Marie Kaster | Physical Therapy Assistant | 14176 National Road Sw, Reynoldsburg, OH 43068 | 2020-07-13 |
| 1366061830 | Ashlie Bielski | Case Manager/Care Coordinator | 1900 Brie Rd, Reynoldsburg, OH 43068 | 2020-04-14 |
| 1336703115 | Primary Healthcare Services, LLC | Home Health | 1618 Lancaster Avenue, Reynoldsburg, OH 43068 | 2019-04-26 |
| 1902391311 | Joshua K. Portwood | Counselor | 1900 Brice Rd., Reynoldsburg, OH 43068 | 2018-06-27 |
| 1912413204 | Robinet Elane Smith | Home Health Aide | 2584 Breanna Pl, Reynoldsburg, OH 43068 | 2017-12-21 |
| 1225548142 | Lalise Tesfaye Senbeta | Registered Nurse | 796 Whistlewood, Reynoldsburg, OH 43068 | 2017-10-05 |
| 1932619970 | Whitehall Cap Inc | Counselor | 1900 Brice Rd, Reynoldsburg, OH 43068 | 2017-10-04 |
| 1366966681 | Jodie Kimbler | Home Health Aide | 1363 Glenview St, Reynoldsburg, OH 43068 | 2017-07-28 |
| 1154851673 | Erin R Smith | Pharmacist | 8460 East Main Street, Reynoldsburg, OH 43068 | 2017-06-18 |
| Find all providers in zip 43068 | ||||
| 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 |
|---|---|---|---|---|
| 1114490729 | Carl William Evans | Pharmacist | 3061 Bocastle Ct, Reynoldsburg, OH 43068-5074 | 2019-01-07 |
| 1548775810 | Tigist Edris | Pharmacist | 1000 Boyne Ct, Reynoldsburg, OH 43068-6749 | 2017-12-08 |
| 1154851673 | Erin R Smith | Pharmacist | 8460 East Main Street, Reynoldsburg, OH 43068 | 2017-06-18 |
| 1124554852 | Joyce Reese | Pharmacist | 6962 E Main St, Reynoldsburg, OH 43068-2008 | 2017-05-01 |
| 1982011094 | Leah May Bierley Jahahn | Pharmacist | 8000 East Broad Street, Reynoldsburg, OH 43068 | 2014-07-21 |
| 1073897856 | Michael David Martin Jr. | Pharmacist | 5 Limited Pkwy E, Reynoldsburg, OH 43068-5300 | 2011-09-28 |
| 1942208442 | Paul Eugene Herring | Pharmacist | 716 Hunt Valley Dr, Reynoldsburg, OH 43068-1675 | 2005-07-08 |
| 1144821331 | Corynn Elizabeth Ozenghar | Pharmacist | 2675 Taylor Road Ext, Reynoldsburg, OH 43068-9543 | 2020-11-04 |
| 1558961193 | Haimanot Kumssa | Pharmacist | 2793 Taylor Road Ext, Reynoldsburg, OH 43068-9549 | 2020-10-30 |
| 1346840006 | Kristen Fout | Pharmacist | 2793 Taylor Road Ext, Reynoldsburg, OH 43068-9549 | 2020-10-30 |
| Find all providers in REYNOLDSBURG | ||||
| City | REYNOLDSBURG |
| Zip Code | 43068 |
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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.