ROBIN JACKSON (NPI# 1568909893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568909893 |
| Entity Type | Individual |
| Full Name | ROBIN JACKSON |
| Credential | PHARM. D. |
| Practice Address |
5060 Raymond Avenue Tupelo MS 38801-3880 |
| Mailing Address |
Po Box 1671 Verona MS 38879-1671 |
| Practice Telephone | 6628107732 |
| Practice Fax Number | 6628107738 |
| Mailing Telephone | 6628107732 |
| Mailing Fax Number | 6628107738 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
E-09982 | MS | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2516 Pemberton Ave, Tupelo, MS 388014218 | 6623040181 | 6623464551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508134982 | Robin M Jackson | Nurse Practitioner | 1782 W Hammer Ln # 3, Stockton, CA 95209-2922 | 2011-12-13 |
| 1831210400 | Robin Dorothy Jackson | Specialist | 8601 N Division St Ste I, Spokane, WA 99208-5915 | 2007-04-02 |
| 1720647670 | Robin Jackson | Registered Nurse | 21121 Christina Dr, Matteson, IL 60443-3003 | 2019-06-12 |
| 1821582776 | Robin Elaine Jackson | Counselor | 25 Whitney Dr Ste 122, Milford, OH 45150-8400 | 2018-06-14 |
| 1942717632 | Robin Freeman Jackson | Registered Nurse | 115 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2018-01-04 |
| 1174036677 | Robin Suzette Jackson | Community/Behavioral Health | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-11-07 |
| 1669922670 | Robin Jackson | Nurse Practitioner | 830 S Gloster St, 4th Floor East Tower, Tupelo, MS 38801-4934 | 2016-10-13 |
| 1447607205 | Robin Jackson | Counselor | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2016-05-20 |
| 1912212705 | Robin Michelle Jackson | Social Worker | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2010-08-17 |
| 1245553635 | Robin Lashawn Jackson | Nurse Practitioner | 1500 Weiss St, Saginaw, MI 48602-5251 | 2010-03-12 |
| Street Address |
5060 RAYMOND AVENUE |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-3880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093287369 | Pakmeds Pharmacy & Consulting, LLC | Pharmacy | 5060 Raymond Avenue, Tupelo, MS 38801 | 2018-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659915817 | Samantha Odem | Pharmacist | 19640 Highway 67, Biloxi, MS 39532-8666 | 2019-10-31 |
| 1215406715 | Ha Phan | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2018-11-14 |
| 1114492725 | Kandis Vechelle Backus | Pharmacist | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2018-10-10 |
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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.