DR. JEFF JACKSON (NPI# 1497171599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497171599 |
| Entity Type | Individual |
| Full Name | DR. JEFF JACKSON |
| Credential | PHARMD |
| Practice Address |
2013 Lantern Ridge Dr Richmond KY 40475-6010 |
| Practice Telephone | 8595755033 |
| Practice Fax Number | 8595755065 |
| Mailing Telephone | 8595755033 |
| Mailing Fax Number | 8595755065 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 011557 | KY | Pharmacy Service Providers |
| Street Address |
2013 LANTERN RIDGE DR |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689991176 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 2013 Lantern Ridge Dr, Richmond, KY 40475-6010 | 2010-04-23 |
| 1922617307 | Kyle Holdeman | Pharmacist | 2013 Lantern Ridge Dr, Richmond, KY 40475-6010 | 2020-07-30 |
| 1124483631 | Mikka Riley | Pharmacist | 2013 Lantern Ridge Dr, Richmond, KY 40475-6010 | 2015-12-28 |
| 1619387065 | Kayla Sexton Boyd | Pharmacist | 2013 Lantern Ridge Dr, Richmond, KY 40475-6010 | 2014-05-06 |
| 1427468271 | Carmen Mckinney | Pharmacist | 2013 Lantern Ridge Dr, Richmond, KY 40475-6010 | 2014-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| 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 |
|---|---|---|---|---|
| 1578164448 | Jonathan Jean | Pharmacist | 24802 Timbarra Park Cir, Richmond, TX 77406-2787 | 2020-11-05 |
| 1255931895 | Lisa Kalning Howerton | Pharmacist | 2410 Sheila Ln, Richmond, VA 23225-2040 | 2020-10-30 |
| 1134730369 | Ding Yang | Pharmacist | 7 N 8th St Apt 1004, Richmond, VA 23219-3327 | 2020-08-11 |
| 1033758073 | Huong Ngoc Thien Bui | Pharmacist | 7810 Sydney Bay Ct, Richmond, TX 77407-1419 | 2019-12-21 |
| 1295378750 | Travis Christopher Schrecengost | Pharmacist | 2113 Barton Ave, Richmond, VA 23222-4401 | 2019-10-28 |
| 1306492087 | Stephanie Meeker | Pharmacist | 2150 Chester Blvd, Richmond, IN 47374-1217 | 2019-08-17 |
| 1407369556 | Philip Jan | Pharmacist | 1825 E Marshall St Apt 142, Richmond, VA 23223-7382 | 2017-11-12 |
| 1083126965 | Nan V Julius | Pharmacist | 7603 Forest Ave Ste 209, Richmond, VA 23229-4937 | 2017-10-31 |
| 1467989699 | Brigitte Stolz | Pharmacist | 1201 Broad Rock Blvd Pharmacy Dept 119, Richmond, VA 23249-0001 | 2017-05-18 |
| 1518490374 | Evans Osei Tutu | Pharmacist | 11114 Cornalee Ct, Richmond, TX 77407-1930 | 2017-04-09 |
| Find all providers in RICHMOND | ||||
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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.