MARY JACKSON (NPI# 1447704333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447704333 |
| Entity Type | Individual |
| Full Name | MARY JACKSON |
| Practice Address |
141 Dorman Centre Dr Spartanburg SC 29301-2625 |
| Practice Telephone | 8645741985 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 36729 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1194388678 | Mary Sheree Jackson | Home Health Aide | 226 Mckinley St, Pittsburgh, PA 15210-3312 | 2019-04-19 |
| 1508358813 | Mary Jackson | Counselor | 3442 W Emma Pl, Queen Creek, AZ 85142-0506 | 2018-06-01 |
| 1891220935 | Mary Jackson | Counselor | 2824 N Cascade Ave, Colorado Springs, CO 80907-6213 | 2017-04-26 |
| 1992152672 | Mary Jackson | Non-emergency Medical Transport (VAN) | 421 Lively Hope Rd, Callao, VA 22435-2511 | 2016-05-23 |
| 1699121129 | Mary Theresa Jackson | Counselor | 345 Old Cuyler Rd, Ellabell, GA 31308-5858 | 2016-05-13 |
| 1013331586 | Mary Jackson I | Chore Provider | 555 Old Lewiston Rd, Winthrop, ME 04364-4112 | 2014-02-04 |
| 1316203854 | Mary Louise Jackson | Home Health Aide | 256 Clairmont Ave, Mansfield, OH 44903-1547 | 2012-04-10 |
| 1376835298 | Mary Bickel Jackson | Nutritionist | 33 Fulton Plaza, Middletown, NY 10940 | 2011-05-11 |
| 1437456522 | Mary Elisabeth Jackson | Counselor | 804 South Oakland Ave, Carbondale, IN 62901 | 2011-02-25 |
| Street Address |
141 DORMAN CENTRE DR |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29301-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225092737 | Kerri Hopkins | Optometrist | 141 Dorman Centre Dr, Spartanburg, SC 29301-2625 | 2006-04-12 |
| 1275933640 | Michael Blair West | Pharmacist | 141 Dorman Centre Dr, Spartanburg, SC 29301-2625 | 2014-09-03 |
| 1619387990 | Julia Black | Pharmacist | 141 Dorman Centre Dr, Spartanburg, SC 29301-2625 | 2014-05-07 |
| 1679993398 | Stephen M Stuart | Pharmacist | 141 Dorman Centre Dr, Spartanburg, SC 29301-2625 | 2014-04-21 |
| 1811022957 | Dorman Centre Eye Care, Pa | Optometrist | 141 Dorman Centre Dr, Spartanburg, SC 29301-2625 | 2007-02-22 |
| 1588746606 | Wal-mart Stores East, Lp | Technician/Technologist | 141 Dorman Centre Dr, Spartanburg, SC 29301-2625 | 2006-10-19 |
| 1538186788 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 141 Dorman Centre Dr, Spartanburg, SC 29301-2625 | 2006-07-16 |
| 1043274558 | Andrew L. Hopkins | Optometrist | 141 Dorman Centre Dr, Spartanburg, SC 29301-2625 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
| 1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
| 1124426382 | Shellie Smith | Social Worker | 101 Washington Place, Spartanburg, SC 29301 | 2014-12-19 |
| 1356751770 | Lindsey Marie Dillon | Counselor | 250 Dewey Ave., Spartanburg, SC 29301 | 2014-05-07 |
| 1568892461 | Lauren Campbell Heiser | Physical Therapist | 2660 Reidville Rd # 6&7, Spartanburg, SC 29301 | 2013-11-14 |
| 1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
| 1023384419 | Elizabeth B. Gurley | Pharmacist | 211 West Blackstock Rd, Spartanburg, SC 29301 | 2012-03-29 |
| 1649564063 | Brooke Webster Fuentes | Physician Assistant | 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 | 2011-06-02 |
| 1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
| Find all providers in zip 29301 | ||||
| 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 |
|---|---|---|---|---|
| 1487154480 | Adele Penland Boyce | Pharmacist | 104 Emory Rd, Spartanburg, SC 29307-2905 | 2018-02-15 |
| 1790137784 | Jessica Lee Ho | Pharmacist | 215 Bent Oak Way, Spartanburg, SC 29301-1201 | 2016-07-01 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1184969867 | Thomas Allen Keith Jr. | Pharmacist | 1908 East Main Street, Spartanburg, SC 29307-2308 | 2012-12-06 |
| 1861746091 | James Richard Cantrell | Pharmacist | 150 Hawk Creek Dr, Spartanburg, SC 29301-1214 | 2012-11-09 |
| 1598015869 | Manish Rajkumar Chomal | Pharmacist | 2660 Reidville Rd Ste 8, Spartanburg, SC 29301-3512 | 2012-09-14 |
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1174873616 | Myra Turner Lawson | Pharmacist | 87 Garner Road, Spartanburg, SC 29303 | 2012-09-12 |
| 1639427438 | James Calvin Pugh Jr. | Pharmacist | 2397 Reidville Rd, Spartanburg, SC 29301-3651 | 2012-08-27 |
| 1609123439 | Payal Thadani | Pharmacist | 2401 Reidville Rd, Spartanburg, SC 29301-3654 | 2012-08-10 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29301 |
Please comment or provide details below to improve the information on MARY JACKSON.
| 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.