TARA JACKSON (NPI# 1750630505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750630505 |
| Entity Type | Individual |
| Full Name | TARA JACKSON |
| Credential | PHARMD |
| Practice Address |
4353 W Bethany Home Rd Glendale AZ 85301-5483 |
| Mailing Address |
8143 E Earll Dr Scottsdale AZ 85251-5874 |
| Practice Telephone | 6234357197 |
| Mailing Telephone | 4806501633 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S018520 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144632837 | Tara Jackson | Physical Therapy Assistant | 303 North Hurstbourne Parkway, Suite 200, Louisville, KY 40222 | 2014-05-29 |
| 1578900510 | Tara M Jackson | Counselor | 1911 Main Ave Ste 248, Durango, CO 81301-5077 | 2013-05-31 |
| 1578784245 | Tara M Jackson | Developmental Therapist | 104 G Corum Ln, Auburn, KY 42206-5000 | 2007-05-01 |
| 1578164679 | Tara Jackson | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-11-04 |
| 1124583653 | Tara Y. Jackson | Registered Nurse | 680 Blair Mill Rd, Horsham, PA 19044-2223 | 2019-02-08 |
| 1184076812 | Tara Jackson | Behavioral Analyst | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2016-07-06 |
| 1790028082 | Tara Leigh Jackson | Nurse Practitioner | 123 James River & Kanawha Turnpike, Ansted, WV 25812 | 2013-04-04 |
| 1184979098 | Tara Jackson | Nurse Practitioner | 6675 Holmes Rd, Suite 400, Kansas City, MO 64131-1150 | 2012-07-17 |
| 1992081343 | Tara Renae Jackson | Nurse Anesthetist, Certified Registered | 13737 Noel Rd, Ste 1400, Dallas, TX 75240-2004 | 2011-10-31 |
| 1063625184 | Tara Sauls Jackson | Pharmacist | 412 Johnson St Se, Dawson, GA 39842-1523 | 2007-05-07 |
| Street Address |
4353 W BETHANY HOME RD |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301-5483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871536102 | Smiths Food & Drug Centers Inc | Pharmacy | 4353 W Bethany Home Rd, Glendale, AZ 85301-5483 | 2006-06-14 |
| 1659770675 | Mehal Shah | Pharmacist | 4353 W Bethany Home Rd, Glendale, AZ 85301-5483 | 2014-08-14 |
| 1659624971 | Victoria Omutsani | Pharmacist | 4353 W Bethany Home Rd, Glendale, AZ 85301-5483 | 2012-10-24 |
| 1720360399 | Olajuyi Ojo | Pharmacist | 4353 W Bethany Home Rd, Glendale, AZ 85301-5483 | 2011-09-09 |
| 1427346014 | Seema Patel | Pharmacist | 4353 W Bethany Home Rd, Glendale, AZ 85301-5483 | 2011-07-16 |
| 1467787762 | Andy Lin | Pharmacist | 4353 W Bethany Home Rd, Glendale, AZ 85301-5483 | 2009-10-05 |
| 1083861736 | Eric Brandon Best | Pharmacist | 4353 W Bethany Home Rd, Glendale, AZ 85301-5483 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
| 1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
| 1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
| 1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
| 1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
| 1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
| Find all providers in zip 85301 | ||||
| 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 |
|---|---|---|---|---|
| 1831703503 | Anabel Ebrahimi | Pharmacist | 1030 S Glendale Ave Ste 101, Glendale, CA 91205-2866 | 2020-09-01 |
| 1235743055 | Aleen Marcoosi | Pharmacist | 418 E Glenoaks Blvd Ste 102, Glendale, CA 91207-2093 | 2020-08-31 |
| 1114539673 | Gary Karapet Karapetyan | Pharmacist | 1415 Dorothy Dr, Glendale, CA 91202-1611 | 2020-08-17 |
| 1144832692 | Arsineh Mesrkhani | Pharmacist | 330 Concord St Apt E, Glendale, CA 91203-2811 | 2020-08-17 |
| 1619595261 | Cari Schultz | Pharmacist | 1633 W Bender Rd Apt 6b, Glendale, WI 53209-3821 | 2020-07-09 |
| 1215564273 | Mark Hoffman | Pharmacist | 5419 N 80th Ln, Glendale, AZ 85303-5517 | 2020-03-26 |
| 1548897515 | Anasheh Navasarkian | Pharmacist | 348 W Chevy Chase Dr Apt 29, Glendale, CA 91204-2244 | 2020-03-26 |
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1275165391 | Michael Bardi | Pharmacist | 800 S Central Ave Ste 101a, Glendale, CA 91204-4375 | 2020-02-06 |
| 1487292942 | Victoria Chipeva | Pharmacist | 1538 Raymond Ave, Glendale, CA 91201-1213 | 2019-12-16 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on TARA 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.