DOUGLAS RAY JACKSON (NPI# 1427394147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427394147 |
| Entity Type | Individual |
| Full Name | DOUGLAS RAY JACKSON |
| Credential | RPH |
| Practice Address |
600 Sheldon St Creston IA 50801-3322 |
| Practice Telephone | 6417828417 |
| Practice Fax Number | 6417826858 |
| Mailing Telephone | 6417828417 |
| Mailing Fax Number | 6417826858 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11257 | CO | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 16443 | IA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730384744 | Douglas Reed Jackson | Neuromusculoskeletal Medicine & OMM | 3211 Applewood Rd, Midland, MI 48640-2666 | 2007-06-19 |
| 1245367655 | Douglas Wayne Jackson | Dentist | 5540 S 79th E Place, Tulsa, OK 74145-7846 | 2007-02-27 |
| 1457401762 | Douglas Jackson | Dentist | 714 E. 4th Ave, Red Springs, NC 28377 | 2007-01-11 |
| 1063432342 | Douglas R Jackson | Family Medicine | 517 W Junipero St Unit 1, 334 S Patterson Ave #120, Santa Barbara, CA 93105-4239 | 2006-07-20 |
| 1760412241 | Douglas Gilbert Jackson I | Nurse Practitioner | 14827 Foothill Rd, Santa Paula, CA 93060-9733 | 2006-07-03 |
| 1962472407 | Douglas T Jackson | Anesthesiology | 150 Bargen St, F 102, Newark, NJ 07103 | 2006-01-26 |
| 1184277857 | Douglas Jackson | Nurse Practitioner | 1100 Reid Pkwy, Richmond, IN 47374-1157 | 2019-07-22 |
| 1891071635 | Douglas Scott Jackson | Pharmacist | 116 S George St, Suite 101, York, PA 17401-1474 | 2011-10-25 |
| 1013160316 | Douglas Clarence Jackson | Specialist | 2384 Atlantic Ave, Brooklyn, NY 11233-3402 | 2008-10-30 |
| 1912076639 | Douglas L Jackson | Nurse Anesthetist, Certified Registered | 100 Peyton Way, Suite 200, Charleston, WV 25309-8572 | 2006-11-07 |
| Street Address |
600 SHELDON ST |
| City | CRESTON |
| State | IA |
| Zip Code | 50801-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881620060 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 600 Sheldon St, Creston, IA 50801-3322 | 2006-06-23 |
| 1255952511 | Jennifer Hoyt | Pharmacist | 600 Sheldon St, Creston, IA 50801-3322 | 2020-04-28 |
| 1366062952 | Deborah Lynn Long | Pharmacist | 600 Sheldon St, Creston, IA 50801-3322 | 2020-04-23 |
| 1942820535 | James Ide | Pharmacist | 600 Sheldon St, Creston, IA 50801-3322 | 2020-04-23 |
| 1972629491 | Paul C. Weigel | Pharmacist | 600 Sheldon St, Creston, IA 50801-3322 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053694802 | Crossroads Behavioral Health Center | Clinic/Center | 1003 Cottonwood St., Creston, IA 50801 | 2011-09-27 |
| 1578735452 | Homestead of Creston Operations LLC | Assisted Living Facility | 1709 West Prairie Street, Creston, IA 50801 | 2008-03-31 |
| 1194937391 | Swfac Plc | Podiatrist | 1610 W Townline, Creston, IA 50801 | 2007-05-03 |
| 1013137264 | Virginia W Lents | Dietitian, Registered | 1700 W Townline, Creston, IA 50801 | 2007-04-30 |
| 1356411219 | Steven Kent Tilley | Dentist | 304 West Lucas, Creston, IA 50801 | 2006-11-08 |
| 1598859696 | Dennis R Hopkins | Chiropractor | 905 W. Townline St., Creston, IA 50801 | 2006-10-03 |
| 1922011139 | Theresa R Bensky | Social Worker | 900 W Montgomery St, Creston, IA 50801 | 2006-08-15 |
| 1164487872 | Area Xiv Agency On Aging | Home Delivered Meals | 215 Montgomery St, Creston, IA 50801 | 2006-04-18 |
| 1578531877 | Crossroads Behavioral Health Services | Counselor | 1003 Cottonwood Rd, Creston, IA 50801 | 2006-03-10 |
| 1972540011 | James D Gerdes | Family Medicine | 1610 W Townline St, Creston, IA 50801 | 2006-05-31 |
| Find all providers in zip 50801 | ||||
| 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 |
|---|---|---|---|---|
| 1396360731 | Katelin Hardisty | Pharmacist | 806 Laurel St, Creston, IA 50801-3554 | 2020-06-11 |
| 1255952511 | Jennifer Hoyt | Pharmacist | 600 Sheldon St, Creston, IA 50801-3322 | 2020-04-28 |
| 1366062952 | Deborah Lynn Long | Pharmacist | 600 Sheldon St, Creston, IA 50801-3322 | 2020-04-23 |
| 1942820535 | James Ide | Pharmacist | 600 Sheldon St, Creston, IA 50801-3322 | 2020-04-23 |
| 1972629491 | Paul C. Weigel | Pharmacist | 600 Sheldon St, Creston, IA 50801-3322 | 2007-03-22 |
| 1235125394 | Larry Lee Richardson | Pharmacist | 1700 W Townline St, Suite 3, Creston, IA 50801-1054 | 2005-09-23 |
| 1568458552 | Karen Elaine Weis | Pharmacist | 1700 W Townline St, Suite 3, Creston, IA 50801-1054 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708070 | Bethany Vogts | Pharmacist | 1825 29th St Ne Ste E, Cedar Rapids, IA 52402-3452 | 2020-10-20 |
| 1356948103 | Kate Elizabeth Kurt | Pharmacist | 1605 Associates Dr Ste 101, Dubuque, IA 52002-2270 | 2020-10-05 |
| 1295348605 | Bret Kinne | Pharmacist | 120 S Story St Ste C, Boone, IA 50036-4739 | 2020-08-25 |
| 1770191611 | Andrea Dawn Mccartney | Pharmacist | 3056 River Crossing Ct Ste A, Riverside, IA 52327-4733 | 2020-07-16 |
| 1669080842 | Darby A Messerschmitt | Pharmacist | 118-120 North 1st Avenue, Winterset, IA 50273 | 2020-07-14 |
| 1558989194 | Joy C Tinnes | Pharmacist | 3056 River Crossing Ct, Riverside, IA 52327-4733 | 2020-07-09 |
| 1124645270 | David John Thomsen | Pharmacist | 133 Green Mountain Dr, Iowa City, IA 52245-3817 | 2020-07-05 |
| 1578180790 | Emily Brynn Vahary | Pharmacist | 200 Hawkins Dr # Cc101gh, Iowa City, IA 52242-1009 | 2020-07-03 |
| 1902422108 | Shanrael Stoner | Pharmacist | 2255 John F Kennedy Rd Ste 16, Dubuque, IA 52002-2883 | 2020-06-23 |
| 1235755000 | Casey Villhauer | Pharmacist | 4105 Nw 5th St, Ankeny, IA 50023-8710 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
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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.