MR. JOHN WILLIAM JACKSON (NPI# 1649621541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649621541 |
| Entity Type | Individual |
| Full Name | MR. JOHN WILLIAM JACKSON |
| Credential | PHARMD. |
| Practice Address |
26611 Cabot Road Suite B Laguna Hills CA 92653-7018 |
| Practice Telephone | 9493487900 |
| Practice Fax Number | 9495826111 |
| Mailing Telephone | 9493487900 |
| Mailing Fax Number | 9495826111 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH 31998 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1063073310 | John Jackson | Speech-Language Pathologist | 2143 Mohawk Trl, Maitland, FL 32751-3950 | 2019-06-27 |
| 1992202832 | John Jackson | Physical Therapy Assistant | 209 Lake St, Chittenango, NY 13037-1518 | 2018-04-08 |
| 1063911105 | John Martin Jackson | Physical Therapy Assistant | 11118 Lantern Way, North Chesterfield, VA 23236-3575 | 2018-02-05 |
| 1184164493 | John Jackson | Emergency Medical Technician, Paramedic | 137 S Newport Ave, Newport, WA 99156-1942 | 2017-03-06 |
| 1508236837 | John Willard Jackson | Anesthesiology | 7857 Caruth Ct, Dallas, TX 75225-8133 | 2015-09-29 |
| 1043572035 | John Ferndale Jackson | Behavioral Analyst | 931 Azure Heights Place, Las Vegas, NV 89110 | 2012-06-14 |
| 1679830558 | John Michael Jackson | Pharmacist | 1000 Castlebay, Cincinnati, OH 45245-4910 | 2012-04-18 |
| 1013043553 | John Phillip Jackson | Occupational Therapist | 7810 Avenue U Apt B, Lubbock, TX 79423-2430 | 2007-02-26 |
| 1275673451 | John W Jackson | Pharmacist | 1667 Bellemeade Dr, Altoona, PA 16602-7402 | 2007-02-07 |
| Street Address |
26611 CABOT ROAD SUITE B |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-7018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073861522 | James Harold Roache | Pharmacist | 26611 Cabot Road, Suite B, Laguna Hills, CA 92653-7018 | 2012-08-15 |
| 1447508999 | Edgar George Baesel II | Pharmacist | 26611 Cabot Road, Suite B, Laguna Hills, CA 92653-7018 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| 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 |
|---|---|---|---|---|
| 1558974014 | Timothy Peter Lew | Pharmacist | 25202 Mawson Dr, Laguna Hills, CA 92653-5242 | 2020-08-25 |
| 1548878150 | Arthur Avanesov | Pharmacist | 26041 La Cuesta Ave, Laguna Hills, CA 92653-5642 | 2020-07-20 |
| 1427509991 | Livia Wang | Pharmacist | 25502 Saddle Rock Pl, Laguna Hills, CA 92653-6335 | 2016-10-20 |
| 1174905566 | Elham Anjomshoaa Delune | Pharmacist | 26538 Moulton Pkwy, Laguna Hills, CA 92653-8232 | 2015-06-23 |
| 1154732998 | Stewart Edington | Pharmacist | 23665 Moulton Pkwy Ste A, Laguna Hills, CA 92653-1937 | 2014-05-14 |
| 1811323272 | Huyen Pham | Pharmacist | 25201 Linda Vista Dr, Laguna Hills, CA 92653-5358 | 2013-09-17 |
| 1073861522 | James Harold Roache | Pharmacist | 26611 Cabot Road, Suite B, Laguna Hills, CA 92653-7018 | 2012-08-15 |
| 1083914634 | Lisa Woo | Pharmacist | 24270 El Toro Rd, Laguna Hills, CA 92637-3435 | 2010-10-29 |
| 1437470309 | Tochukwu Ngoka | Pharmacist | 6 Holly Hill Ln, Laguna Hills, CA 92653-6063 | 2010-06-15 |
| 1508955527 | Caroline Nguyen Thanh Vovan | Pharmacist | 24411 Health Center Dr Ste 608, Laguna Hills, CA 92653-3651 | 2006-10-11 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on MR. JOHN WILLIAM 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.