MS. REGINA DENISE JACKSON (NPI# 1902188600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902188600 |
| Entity Type | Individual |
| Full Name | MS. REGINA DENISE JACKSON |
| Credential | PHARM D |
| Practice Address |
2220 Hewatt Rd Snellville GA 30039-4021 |
| Practice Telephone | 7709784157 |
| Practice Fax Number | 7709786563 |
| Mailing Telephone | 7709784157 |
| Mailing Fax Number | 7709786563 |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH020468 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053730721 | Regina Jackson | Counselor | 6320 S 86th E Ave Apt B, Tulsa, OK 74133 | 2014-04-10 |
| 1801196878 | Regina Jackson | Rehabilitation Practitioner | 5254 Paradise Skies Avenue, Las Vegas, NV 89156 | 2010-10-25 |
| 1992958680 | Regina Deanna Jackson Sr. | Speech-Language Pathologist | 910 Martha St, Columbia, SC 29203-5032 | 2008-10-28 |
| 1811528565 | Regina Jackson | Counselor | 3103 Blackiston Mill Rd, New Albany, IN 47150-9536 | 2020-01-31 |
| 1679076764 | Regina Rodgers Jackson | Nurse Practitioner | 6819 Crumpler Blvd Ste 101, Olive Branch, MS 38654-1941 | 2018-03-14 |
| 1053825778 | Regina Jackson | Technician/Technologist | 1220 2nd Ave, Columbus, GA 31901-5241 | 2017-11-17 |
| 1629433016 | Regina Jackson | Social Worker | 4951 Central Ave, Monroe, LA 71203 | 2015-12-29 |
| 1699005686 | Regina Jackson | Massage Therapist | 3571 S Tower Rd Unit A, Aurora, CO 80013-5704 | 2010-01-13 |
| 1649460478 | Regina Louise Jackson | Counselor | 2616 Nicollet Ave, Minneapolis, MN 55408-1628 | 2007-07-27 |
| Street Address |
2220 HEWATT RD |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30039-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407861511 | Walgreen Co | Pharmacy | 2220 Hewatt Rd, Snellville, GA 30039-4021 | 2006-07-29 |
| 1063796035 | Salome L Lulusa | Pharmacist | 2220 Hewatt Rd, Snellville, GA 30039 | 2011-10-07 |
| 1215210935 | Walgreens | Clinic/Center | 2220 Hewatt Rd, Snellville, GA 30039-4021 | 2011-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
| 1245849785 | Tanner Brown | Physical Therapist | 3991 Us-78 Suite 200, Snellville, GA 30039 | 2020-07-30 |
| 1215571294 | Ora Gylbryne Brown | Behavioral Analyst | 4189 White Road, Snellville, GA 30039 | 2019-11-01 |
| 1780174953 | Kolawole J Adeyeye | Nursing Care | 4729 Polly Pl, Snellville, GA 30039 | 2018-05-14 |
| 1255820007 | Bacchus Private Home Care LLC | Home Health | 4925 Bridle Point Parkway, Snellville, GA 30039 | 2018-05-08 |
| 1508368051 | Sovereign Medical Services, Inc | Community/Behavioral Health | 3806 Wood Hollow Way, Snellville, GA 30039 | 2018-03-01 |
| 1356865265 | Shanique Griffiths | Counselor | 2580 Broadmoor Ct, Snellville, GA 30039 | 2017-08-01 |
| 1265952584 | Miracles In Motion Foundation | Case Management | 4276 Burgomeister Place, Snellville, GA 30039 | 2017-06-27 |
| 1194245704 | Loliya Joy Stewart | Dentist | 3966 Annistown Rd, Snellville, GA 30039 | 2017-06-24 |
| 1023543014 | Natasha Marie Smith | Nurse's Aide | 2423 Northbrook Rd, Snellville, GA 30039 | 2017-04-27 |
| Find all providers in zip 30039 | ||||
| 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 |
|---|---|---|---|---|
| 1215538103 | Agatha Nonye Okoye | Pharmacist | 5300 Bridle Point Pkwy, Snellville, GA 30039-2715 | 2020-11-05 |
| 1396345757 | Parin Patel | Pharmacist | 2912 W Main St, Snellville, GA 30078-3148 | 2020-10-27 |
| 1164041117 | Be Well Pharmacy Consulting LLC | Pharmacist | 3300 Centerville Hwy Ste 901, Snellville, GA 30039-6334 | 2020-04-10 |
| 1851852743 | Abigail Case | Pharmacist | 2463 Waterscape Trl, Snellville, GA 30078-7399 | 2019-03-25 |
| 1508341074 | Ivette Nah Ngum | Pharmacist | 3036 Excelsior Ct, Snellville, GA 30039-6320 | 2018-10-01 |
| 1306322789 | Myrna Danette Mcintosh | Pharmacist | 2942 Moorings Pkwy, Snellville, GA 30039-7314 | 2018-07-18 |
| 1861857864 | Shilpa Durbal | Pharmacist | 1551 Janmar Rd Ste B, Snellville, GA 30078-5606 | 2015-12-18 |
| 1689046922 | Natasha Patel | Pharmacist | 2026 Chambord Way, Snellville, GA 30078-5617 | 2015-10-27 |
| 1750757100 | Thao Trinh | Pharmacist | 1905 Scenic Highway N Ste 4000, Snellville, GA 30039 | 2015-08-19 |
| 1457782088 | Anita Browne | Pharmacist | 4188 Citation Pl, Snellville, GA 30039-5936 | 2013-12-08 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30039 |
Please comment or provide details below to improve the information on MS. REGINA DENISE 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.