JACKSON OVERTON (NPI# 1407487937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407487937 |
| Entity Type | Individual |
| Full Name | JACKSON OVERTON |
| Credential | PHARMD |
| Practice Address |
1600 Leestown Rd Lexington KY 40511-2136 |
| Mailing Address |
117 N Ashland Ave Lexington KY 40502-1501 |
| Practice Telephone | 8592590965 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
019253 | KY | Pharmacy Service Providers |
| Street Address |
1600 LEESTOWN RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40511-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689612673 | Lindsay Hand and Physical Therapy, Psc | Physical Therapist | 1600 Leestown Rd, Suite 160, Lexington, KY 40511-2136 | 2006-06-03 |
| 1881144053 | Kiosk Medicine of Kentucky LLC | Physician Assistant | 1600 Leestown Rd, Lexington, KY 40511-2136 | 2016-10-11 |
| 1932547262 | Lindsey Diane Riley | Dentist | 1600 Leestown Rd, Suite 138, Lexington, KY 40511-2136 | 2013-06-09 |
| 1295081032 | Nancy Tidwell Randall | Pharmacist | 1600 Leestown Rd, Lexington, KY 40511-2136 | 2012-07-31 |
| 1144576422 | Adam Douglas Brown | Pharmacist | 1600 Leestown Rd, Lexington, KY 40511-2136 | 2012-07-24 |
| 1891067161 | Leestown Dental Center | Clinic/Center | 1600 Leestown Rd, Ste.138, Lexington, KY 40511-2136 | 2012-02-02 |
| 1033214127 | Jill D. Jones | Pharmacist | 1600 Leestown Rd, Lexington, KY 40511-2136 | 2006-09-13 |
| 1295838852 | Laura Cottrill | Pharmacist | 1600 Leestown Rd, Lexington, KY 40511-2136 | 2006-09-07 |
| 1912000720 | E.w. James & Sons #57 | Pharmacist | 1600 Leestown Rd, Lexington, KY 40511-2136 | 2006-09-07 |
| 1841393634 | Joe Maze | Pharmacist | 1600 Leestown Rd, Lexington, KY 40511-2136 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278915 | Amy H Ward | Counselor | 1382 Bull Lea Road, Lexington, KY 40511 | 2019-01-03 |
| 1295233104 | Coventry Oak Elementary School | Public Health or Welfare | 2441 Huntly Place, Lexington, KY 40511 | 2018-01-25 |
| 1881192789 | The Stables (school) | Public Health or Welfare | 4089 Iron Works Pike, Lexington, KY 40511 | 2018-01-25 |
| 1124526033 | Garrett Morgan Elementary School | Public Health or Welfare | 1150 Passage Mound Way, Lexington, KY 40511 | 2018-01-25 |
| 1760903520 | Taylor Bowman | Optometrist | 2500 Leestown Road, Lexington, KY 40511 | 2017-07-03 |
| 1982134409 | Amy Beth Powers | Counselor | 455 Park Place, Suite 130, Lexington, KY 40511 | 2017-06-18 |
| 1336695196 | Life Navigation Services, LLC | Community/Behavioral Health | 348 Mcconnells Trace #102, Lexington, KY 40511 | 2016-08-31 |
| 1730545989 | Delmetria Cayson Combs | Counselor | 1374 Bull Lea Road, Lexington, KY 40511 | 2016-01-04 |
| 1720456080 | Lisa Higgins | Case Manager/Care Coordinator | 1351 Newtown Pike #5, Bluegrass, Lexington, KY 40511 | 2015-09-03 |
| 1346500766 | Rachel Elaine Clark | Counselor | 1351 Newtown Pike, Bldg 4, Lexington, KY 40511 | 2012-05-18 |
| Find all providers in zip 40511 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790397081 | Ryan Babb | Pharmacist | 740 S Limestone J-134, Lexington, KY 40536-0001 | 2020-08-19 |
| 1255956405 | Alka Herald | Pharmacist | 1417 Glenview Dr, Lexington, KY 40514-2209 | 2020-06-13 |
| 1134743248 | Donna Rene Burgess | Pharmacist | Uk Bluegrass Care Clinic 740 S Limestone L504, Lexington, KY 40536-0001 | 2020-06-04 |
| 1134696511 | Niki Koirala | Pharmacist | 800 Rose St Pavilion Ha, Lexington, KY 40536-0001 | 2018-10-24 |
| 1982107348 | Gavin Taylor Howington | Pharmacist | 1000 South Limestone St Pharmacy Services, Lexington, KY 40536-0001 | 2018-03-13 |
| 1205211737 | Maribeth Wright | Pharmacist | 740 S Limestone K135, Lexington, KY 40536 | 2015-07-27 |
| 1336532571 | Aimee Adams | Pharmacist | Img University Health Services, 830 South Limestone Suite 304, Lexington, KY 40536-0582 | 2015-03-12 |
| 1144635251 | Keaton Smetana | Pharmacist | 800 Rose St Rm H110, Lexington, KY 40536-0001 | 2014-06-26 |
| 1053734483 | Tracy Macaulay | Pharmacist | 900 S Limestone Rd, Ctw 320d, Lexington, KY 40536-0001 | 2014-01-21 |
| 1619123510 | Glenn C Marcum | Pharmacist | 130 W Loudon Ave, Lexington, KY 40508-1412 | 2008-08-11 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on JACKSON OVERTON.
| 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.