DAVID KENNETH JACKSON (NPI# 1649592601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649592601 |
| Entity Type | Individual |
| Full Name | DAVID KENNETH JACKSON |
| Credential | RPH. |
| Practice Address |
625 Clark Avenue Suite 16 King of Prussia PA 19406 |
| Practice Telephone | 6104919700 |
| Practice Fax Number | 6103540800 |
| Mailing Telephone | 6104919700 |
| Mailing Fax Number | 6103540800 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP438113 | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456708 | David Jackson | Clinical Neuropsychologist | 6 Parkway North Blvd, Deerfield, IL 60015-2522 | 2020-01-10 |
| 1194160580 | David Huntsman Jackson | Internal Medicine | 3647 Dunbarton Dr, Mountain Brk, AL 35223-2891 | 2013-04-30 |
| 1790089860 | David Creston Jackson | Dentist | 900 Se Ocean Blvd Ste 110b, Stuart, FL 34994-3503 | 2011-01-05 |
| 1851566467 | David Kenneth Jackson | Technician/Technologist | 4200 Elderon Ave, Baltimore, MD 21215-4802 | 2008-04-24 |
| 1275711350 | David Edward Jackson IIi | Massage Therapist | 3321 E 35th Ave, Lake Station, IN 46405-3016 | 2008-01-31 |
| 1548456502 | David Nathan Jackson | Physical Therapist | 7922 S Broadway Ave, Tyler, TX 75703-5242 | 2007-09-23 |
| 1063564748 | David Bruce Jackson | Radiology | 3233 Grand Ave # N415, Chino Hills, CA 91709-1489 | 2007-01-16 |
| 1912079641 | David Christopher Jackson | Chiropractor | 484 Turner Dr, Building E, Suite 103, Durango, CO 81303-7992 | 2006-11-15 |
| 1316017940 | David Isaac Jackson | Counselor | 946 Edgewood Ave, Trenton, NJ 08618-5304 | 2006-11-09 |
| 1629165170 | David Michael Jackson | Dentist | 3550 S 5600 W, Suite 3, West Valley City, UT 84120-2776 | 2006-10-06 |
| Street Address |
625 CLARK AVENUE SUITE 16 |
| City | KING OF PRUSSIA |
| State | PA |
| Zip Code | 19406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083801773 | Weiguo Li, LLC | Family Medicine | 625 Clark Avenue, Suite 17a, King of Prussia, PA 19406-3065 | 2007-09-26 |
| 1073157038 | Lisa Masterson Hobson | Nurse Practitioner | 625 Clark Avenue, King of Prussia, PA 19406-1438 | 2019-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346887296 | Optical World Nj Corp | Optometrist | Optical World, 160 N. Gulph Rd King of Prussia Plaza Suite #2377, King of Prussia, PA 19406 | 2019-12-10 |
| 1194213694 | Compass Recovery Center | Clinic/Center | 901 E 8th Ave Ste 203, King of Prussia, PA 19406 | 2018-04-30 |
| 1154858520 | Recovery Centers of America At Ventnor Nj Medicaid Only | Clinic/Center | 2701 Renaissance Boulevard, 4th Floor, King of Prussia, PA 19406 | 2017-05-17 |
| 1568913192 | Luke Gillespie | Counselor | 680 American Avenue, Suite 320, King of Prussia, PA 19406 | 2016-10-19 |
| 1932652906 | Bayada Home Health Care, Inc. | Home Health | 700 American Ave Ste 103, King of Prussia, PA 19406 | 2016-07-26 |
| 1912357690 | Barsha Moktan | Dentist | 357 S Gulph Road, #110, King of Prussia, PA 19406 | 2016-06-14 |
| 1588057756 | National Counseling Group, Inc | Counselor | 1150 1st Avenue, #501, King of Prussia, PA 19406 | 2015-03-12 |
| 1184020174 | Dr. Jeanvickey Lusk, M.d. & Co. P.C. | Family Medicine | 315 Gypsy Lane, King of Prussia, PA 19406 | 2014-11-18 |
| 1912303033 | Masuma Bahora | Obstetrics & Gynecology | 210 Mall Blvd Ste 220, King of Prussia, PA 19406 | 2014-11-17 |
| 1942612486 | Delphi Medical Group | Durable Medical Equipment & Medical Supplies | 1600 First Avenue Ste 400, King of Prussia, PA 19406 | 2014-06-02 |
| Find all providers in zip 19406 | ||||
| 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 |
|---|---|---|---|---|
| 1639502503 | Danielle Kristen Groth | Pharmacist | 320 W Dekalb Pike, King of Prussia, PA 19406-2303 | 2013-08-15 |
| 1770848467 | Mls Pharmacy LLC | Pharmacist | 700 S Henderson Rd Ste 308c, King of Prussia, PA 19406-4206 | 2012-07-09 |
| 1659636793 | Josette A Tomety-fotzeu | Pharmacist | 630 Jamie Cir, King of Prussia, PA 19406-1976 | 2012-07-04 |
| 1063716660 | Elbert Sheu | Pharmacist | 504 Valleywyck Dr, King of Prussia, PA 19406-1588 | 2010-12-22 |
| 1558663062 | Angelo Deluca | Pharmacist | 104 Hawthorn Rd, King of Prussia, PA 19406-1836 | 2010-12-03 |
| 1235457771 | Janine Marie Sartorio | Pharmacist | 489 Shoemaker Rd Ste 106, King of Prussia, PA 19406-4235 | 2010-05-07 |
| 1760522874 | Christopher Jones | Pharmacist | 580 Shoemaker Rd, King of Prussia, PA 19406-4205 | 2007-02-07 |
| 1386799088 | Marvin Leon Weizer | Pharmacist | 555 Croton Rd, King of Prussia, PA 19406-3176 | 2007-01-24 |
| 1366043150 | Lisa Marie Crawford | Pharmacist | 310 S Henderson Rd, King of Prussia, PA 19406-2408 | 2020-11-06 |
| 1992306955 | Mariam Sheta | Pharmacist | 275 N Gulph Rd, King of Prussia, PA 19406-2803 | 2020-11-05 |
| Find all providers in KING OF PRUSSIA | ||||
| City | KING OF PRUSSIA |
| Zip Code | 19406 |
Please comment or provide details below to improve the information on DAVID KENNETH JACKSON.
| 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.