ECOLA JACKSON (NPI# 1487094942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487094942 |
| Entity Type | Individual |
| Full Name | ECOLA JACKSON |
| Credential | CPHT |
| Practice Address |
5525 S Pulaski Rd Chicago IL 60629-4400 |
| Practice Telephone | 7734320100 |
| Practice Fax Number | 7734320101 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 049.166756 | IL | Pharmacy Service Providers |
| Street Address |
5525 S PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932108545 | Andree C. De Bustros | Internal Medicine | 5525 S Pulaski Rd, Chicago, IL 60629 | 2005-07-15 |
| 1588052369 | Anne Marie Orzechowski | Nurse Practitioner | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2015-01-02 |
| 1316353147 | Mercy Hospital and Medical Center | Durable Medical Equipment & Medical Supplies | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2014-07-01 |
| 1427483924 | Ashley Ferrell | Physical Therapist | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2013-09-04 |
| 1740620129 | Damaris Melendez | Pharmacy Technician | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2013-06-28 |
| 1356694871 | Mercy Hospital & Medical Center | Pharmacy | 5525 S Pulaski Rd, Chicago, IL 60629-4417 | 2012-10-22 |
| 1134422413 | Kelly Anderson | Pharmacist | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2010-12-08 |
| 1053541318 | Erin M Jamen | Pediatrics | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2009-07-21 |
| 1689830077 | Jennifer Perez | Pediatrics | 5525 S Pulaski Rd, Suite 24oo, Chicago, IL 60629-4417 | 2008-08-05 |
| 1932373107 | Mp Pediatrics | Pediatrics | 5525 S Pulaski Rd, Suite 2400, Chicago, IL 60629-4417 | 2008-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093320947 | David Li | Pharmacy Technician | 2848 S Quinn St Apt A, Chicago, IL 60608-5979 | 2020-09-08 |
| 1922612928 | Valentina Iliescu | Pharmacy Technician | 2440 N Luna Ave, Chicago, IL 60639-1335 | 2020-09-07 |
| 1679029995 | Meghan Robbins | Pharmacy Technician | 10428 S. Springfield, Chicago, IL 60655 | 2016-08-28 |
| 1952688111 | Tirrell Antoine Livingston | Pharmacy Technician | 7544 S Stony Island Ave, Chicago, IL 60649-3926 | 2011-11-15 |
| 1245511641 | Sarah Kim Cramer | Pharmacy Technician | 6040 S Harper Ave Apt 903, Chicago, IL 60637-2936 | 2011-08-30 |
| 1952553539 | Kathy Pham Tran | Pharmacy Technician | 920 W Lakeside Pl, Apt 1507, Chicago, IL 60640-5175 | 2008-10-15 |
| 1992328223 | Heather Jensky | Pharmacy Technician | 79 W Monroe St, Chicago, IL 60603-4901 | 2020-05-21 |
| 1154943074 | Diana Nguyen | Pharmacy Technician | 151 N State St, Chicago, IL 60601-3601 | 2020-05-13 |
| 1588283865 | Colton W Sherell | Pharmacy Technician | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2020-04-15 |
| 1730733015 | Tanya Abraham | Pharmacy Technician | 201 E Huron St Ste 1-210, Chicago, IL 60611-3578 | 2019-07-25 |
| Find all providers in CHICAGO | ||||
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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.