DR. BRIAN LEE JACKSON (NPI# 1558973115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558973115 |
| Entity Type | Individual |
| Full Name | DR. BRIAN LEE JACKSON |
| Credential | PHARMD |
| Practice Address |
5780 Terry Rd Byram MS 39272-9745 |
| Mailing Address |
500 Northpointe Pkwy Apt 316 Jackson MS 39211-1606 |
| Practice Telephone | 6013462553 |
| Mailing Telephone | 2282094624 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-12966 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198659 | Brian John Jackson | Physician Assistant | 391 Lee Blvd Ste 300, Lehigh Acres, FL 33936-4973 | 2018-09-19 |
| 1316482425 | Brian Keith Jackson | Community Health Worker | 3714 Ruffin Rd, North Prince George, VA 23860-8629 | 2016-12-28 |
| 1346610011 | Brian Jackson | Counselor | 3008 Conmar St, Shreveport, LA 71108 | 2015-10-06 |
| 1255421855 | Brian R Jackson | Pathology | 500 E Chipeta Way, Salt Lake City, UT 84108-1221 | 2006-10-13 |
| 1467497461 | Brian D Jackson | Allergy & Immunology | 151 Harmony Park Circle, Hot Springs, AR 71913 | 2006-06-17 |
| 1689665408 | Brian E Jackson | Dentist | 2775 Bishop Rd, Suite C, Willoughby Hills, OH 44092-2683 | 2005-11-01 |
| 1306842356 | Brian D Jackson | Podiatrist | 1215 Hatcher Ln, Columbia, TN 38401-3531 | 2005-06-23 |
| 1477150738 | Brian Leslie Jackson | Registered Nurse | 2751 Napa Valley Corporate Dr Bldg B, Napa, CA 94558-6216 | 2020-10-08 |
| 1174080030 | Brian Jeffry Jackson | Nurse Practitioner | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | 2019-02-27 |
| 1457850067 | Brian Skeene Jackson | Recreation Therapist | 75 New Scotland Ave, Albany, NY 12208-3409 | 2018-02-09 |
| Street Address |
5780 TERRY RD |
| City | BYRAM |
| State | MS |
| Zip Code | 39272-9745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689850968 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5780 Terry Rd, Byram, MS 39272-9745 | 2008-01-16 |
| 1780296822 | Kierra Sharnae Gilkey | Pharmacist | 5780 Terry Rd, Byram, MS 39272-9745 | 2020-08-19 |
| 1326650979 | Chutinun Rugsacum | Pharmacist | 5780 Terry Rd, Byram, MS 39272-9745 | 2020-08-17 |
| 1639780794 | Tiffany V Ngo | Pharmacist | 5780 Terry Rd, Byram, MS 39272-9745 | 2020-08-12 |
| 1629318373 | Robert Luther Rushing Jr. | Pharmacist | 5780 Terry Rd, Byram, MS 39272-9745 | 2013-02-18 |
| 1760751481 | Corey Wilder | Pharmacist | 5780 Terry Rd, Byram, MS 39272-9745 | 2011-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893363 | Prestige Dental Care | Dentist | 7138 S Siwell Road, Byram, MS 39272 | 2020-05-28 |
| 1093204158 | Primary Family Medical Clinic | Nurse Practitioner | 100 Marker Place Dr. Ste D, Byram, MS 39272 | 2018-05-04 |
| 1457869190 | Lakisha Ann Mcmorris | Adult Companion | 300 Byram Drive, Apt 51d, Byram, MS 39272 | 2018-01-16 |
| 1639692908 | Quintin Todd Julius, Pllc | Dentist | 6745 S. Siwell Rd., Suite 210, Byram, MS 39272 | 2017-07-19 |
| 1134649395 | Helping Hands Service LLC | Home Health | 1402 Siwell Rd Suite 110, Byram, MS 39272 | 2017-06-20 |
| 1760916050 | Delivery Me, LLC | Non-emergency Medical Transport (VAN) | 5210 Brookleigh Drive, Byram, MS 39272 | 2017-04-13 |
| 1962893396 | Rebecca Holley | Speech-Language Pathologist | 7213 S Siwell Road, Byram, MS 39272 | 2015-02-06 |
| 1144665738 | Providence Healthcare of Ms | Nursing Care | 6735 I-55 South Frontage Road, Suite 2-a, Byram, MS 39272 | 2013-05-08 |
| 1568742146 | Deandre Monique Carr | Optometrist | 131 Handley Boulevard, Byram, MS 39272 | 2011-08-26 |
| 1063690022 | Physical Rehabilitation Management | Physical Therapist | 128 Byram Center Drive, Jackson, MS 39272 | 2008-02-01 |
| Find all providers in zip 39272 | ||||
| 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 |
|---|---|---|---|---|
| 1982713723 | David Ray Read | Pharmacist | 7261 S Siwell Rd, Byram, MS 39272-9776 | 2006-08-29 |
| 1588265656 | Brianna Faith Waller | Pharmacist | 131 Handley Blvd, Byram, MS 39272-8983 | 2020-11-05 |
| 1619578242 | Denisa Shantee Strong | Pharmacist | 131 Handley Blvd, Byram, MS 39272-8983 | 2020-11-02 |
| 1780296822 | Kierra Sharnae Gilkey | Pharmacist | 5780 Terry Rd, Byram, MS 39272-9745 | 2020-08-19 |
| 1326650979 | Chutinun Rugsacum | Pharmacist | 5780 Terry Rd, Byram, MS 39272-9745 | 2020-08-17 |
| 1639780794 | Tiffany V Ngo | Pharmacist | 5780 Terry Rd, Byram, MS 39272-9745 | 2020-08-12 |
| 1447897491 | Mallory Harris | Pharmacist | 6745 S Siwell Rd, Byram, MS 39272-8747 | 2019-12-09 |
| 1306298633 | Cody Michael Childers | Pharmacist | 6745 S Siwell Rd, Byram, MS 39272-8747 | 2016-07-11 |
| 1043552086 | Joshua Keith Herrington | Pharmacist | 6745 S Siwell Rd, Byram, MS 39272-8747 | 2013-03-17 |
| 1629318373 | Robert Luther Rushing Jr. | Pharmacist | 5780 Terry Rd, Byram, MS 39272-9745 | 2013-02-18 |
| Find all providers in BYRAM | ||||
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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.