TRACEY D JACKSON (NPI# 1487803870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487803870 |
| Entity Type | Individual |
| Full Name | TRACEY D JACKSON |
| Credential | PHARM.D. |
| Practice Address |
1000 Locust St Reno NV 89502-2597 |
| Practice Telephone | 7757868200 |
| Mailing Telephone | 7757868200 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 16415 | NV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134571730 | Tracey Francine Jackson | Technician, Other | 22764 Normandy Ave, Eastpointe, MI 48021-1854 | 2016-07-07 |
| 1639532765 | Tracey Jackson | Social Worker | 5937 Larchwood Ave, Philadelphia, PA 19143-1115 | 2016-04-05 |
| 1609063882 | Tracey Monique Jackson | Registered Nurse | 23 Flanders St, Rochester, NY 14619-1705 | 2007-10-01 |
| 1174948038 | Tracey Jackson | Occupational Therapist | 4801 Springfield St, Dayton, OH 45431-1084 | 2014-02-28 |
| 1255755930 | Tracey Jackson | Case Manager/Care Coordinator | 820 N Plankinton Ave, Milwaukee, WI 53203-1802 | 2014-02-14 |
| 1861643389 | Tracey Ann Jackson | Counselor | 1547 Parkway Ste 100, Greenwood, SC 29646-4081 | 2008-10-02 |
| 1902074545 | Tracey Jackson | Counselor | 2814 W 2nd St, Wilmington, DE 19805-1807 | 2008-02-18 |
| 1215121835 | Tracey Jackson | Physician Assistant | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2007-08-28 |
| 1558486803 | Tracey L Jackson | Counselor | 4612 Roosevelt Ave, Sacramento, CA 95820 | 2007-03-19 |
| 1902808868 | Tracey L Jackson | Nurse Anesthetist, Certified Registered | 615 S New Ballas Rd, Sjmmc Dept of Anes, Saint Louis, MO 63141-8221 | 2005-08-11 |
| Street Address |
1000 LOCUST ST |
| City | RENO |
| State | NV |
| Zip Code | 89502-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013903053 | Arthur L Allen | Pharmacist | 1000 Locust St, Pharmacy 119, Reno, NV 89502-2597 | 2005-09-26 |
| 1356952857 | Michelle Monique Reynolds | Nurse Practitioner | 1000 Locust St, Reno, NV 89502-2597 | 2020-08-10 |
| 1316300841 | Lisa Papa | Registered Nurse | 1000 Locust St, Reno, NV 89502-2597 | 2016-04-01 |
| 1407148471 | Sean Edward Walsh | Dietitian, Registered | 1000 Locust St, Reno, NV 89502-2597 | 2011-05-10 |
| 1073804142 | Michelle E Moody | Dietitian, Registered | 1000 Locust St, Reno, NV 89502-2597 | 2011-04-25 |
| 1083903678 | Faisal M. Siddiqui | Internal Medicine | 1000 Locust St, Dept. of Internal Medicine, Reno, NV 89502-2597 | 2011-04-04 |
| 1952690117 | Philip T Phu | Student in an Organized Health Care Education/Training Program | 1000 Locust St, Dept of Internal Medicine, Reno, NV 89502-2597 | 2011-03-28 |
| 1629377288 | Muhammad A. Waqar | Student in an Organized Health Care Education/Training Program | 1000 Locust St, M/s 18, Reno, NV 89502-2597 | 2011-03-22 |
| 1821398637 | Tiffany Johnson | Social Worker | 1000 Locust St, Reno, NV 89502-2597 | 2010-10-26 |
| 1548577547 | Veteran's Hospital Reno Nevada | General Acute Care Hospital | 1000 Locust St, Reno, NV 89502-2597 | 2010-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| 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 |
|---|---|---|---|---|
| 1992305411 | Deborah C Wuest | Pharmacist | 5422 S Elk River Rd, Reno, NV 89511-5653 | 2020-10-26 |
| 1053952853 | Marcelino Casal | Pharmacist | 275 S Wells Ave Ste B, Reno, NV 89502-1309 | 2019-10-02 |
| 1083266803 | Aurora Bejto | Pharmacist | 715 James Ct, Reno, NV 89503-3332 | 2019-07-11 |
| 1073089751 | Roberta Duskin | Pharmacist | 5610 W Rainbow Ridge Ct, Reno, NV 89523-1535 | 2018-10-19 |
| 1851878342 | Teresa Pham | Pharmacist | 1901 Silverada Blvd, Reno, NV 89512-2134 | 2018-07-26 |
| 1013453422 | Patrick Kim | Pharmacist | 1055 South Wells, Reno, NV 89502 | 2017-01-09 |
| 1902350333 | Mark Victor Pardini | Pharmacist | 9890 Gainsborough Ln, Reno, NV 89521-4381 | 2016-08-15 |
| 1013460302 | Jason Mccomb | Pharmacist | 9738 S Virginia St, Ste F, Reno, NV 89511-5930 | 2016-08-03 |
| 1245616135 | Warrick Jones IIi | Pharmacist | 4230 Bond Creek Ct, Reno, NV 89519-2156 | 2015-08-03 |
| 1316325491 | Cassandra Deperalta | Pharmacist | 4951 Fall Creek Ct, Reno, NV 89519-0975 | 2015-05-11 |
| Find all providers in RENO | ||||
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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.