DEVIN S JACKSON (NPI# 1861003865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861003865 |
| Entity Type | Individual |
| Full Name | DEVIN S JACKSON |
| Credential | PHARMD |
| Practice Address |
1311 E Draper Pkwy Draper UT 84020-8567 |
| Practice Telephone | 8015710378 |
| Mailing Telephone | 8015710378 |
| Mailing Fax Number | 8015718406 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 71298311701 | UT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574544 | Devin Jackson | Optometrist | 3958 N Academy Blvd Ste 108, Colorado Springs, CO 80917-5911 | 2018-07-04 |
| 1851866636 | Devin M Jackson | Case Manager/Care Coordinator | 1751 E Long St, Columbus, OH 43203-2045 | 2018-10-09 |
| Street Address |
1311 E DRAPER PKWY |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-8567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| 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 |
|---|---|---|---|---|
| 1851957914 | James Lawler Fluty | Pharmacist | 13447 S Hourglass Cir, Draper, UT 84020-7921 | 2019-05-14 |
| 1649722612 | Brian Cox | Pharmacist | 1162 Walden Lane, Draper, UT 84020 | 2016-10-26 |
| 1134676406 | Brieann Dimond | Pharmacist | 2428 E Bear Hills Dr, Draper, UT 84020-8860 | 2016-09-05 |
| 1265800858 | Ashlee Allred | Pharmacist | 14278 S Side Hill Ln, Draper, UT 84020-5740 | 2015-09-13 |
| 1154733160 | Ryan Young | Pharmacist | 751 E Whisper Bend Dr, Draper, UT 84020-8754 | 2014-05-25 |
| 1760738504 | Kelly Marie Barland | Pharmacist | 686 Dunning Ct, Draper, UT 84020-8470 | 2012-07-30 |
| 1477837078 | David P Dimarzio | Pharmacist | 15373 Falcon Pointe Ct, Draper, UT 84020-5724 | 2011-10-01 |
| 1306128756 | Richard Albert Lowe | Pharmacist | 1311 Draper Pkwy, Draper, UT 84020-8567 | 2011-09-12 |
| 1114206612 | Craig Wayne Beck | Pharmacist | 11925 S State St, Lone Peak Hospital, Draper, UT 84020-7735 | 2011-08-15 |
| 1184876807 | Lisa Chung | Pharmacist | 1166 Draper Pkwy, Draper, UT 84020-9095 | 2008-10-13 |
| Find all providers in DRAPER | ||||
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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.