JADE INDIRA JACKSON (NPI# 1902371800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902371800 |
| Entity Type | Individual |
| Full Name | JADE INDIRA JACKSON |
| Practice Address |
301 S State Road 7 Hollywood FL 33023-6756 |
| Practice Telephone | 7542606711 |
| Mailing Telephone | 7542606711 |
| Enumeration Date | 2018-10-06 |
| Last Update Date | 2018-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS58372 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679630842 | Jade Jackson | Technician/Technologist | 1240 Palm Coast Pkwy Sw, Palm Coast, FL 32137-4700 | 2007-01-03 |
| Street Address |
301 S STATE ROAD 7 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33023-6756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366801839 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 301 S State Road 7, Hollywood, FL 33023-6756 | 2016-02-12 |
| 1750982005 | Irina Gonzalez | Pharmacist | 301 S State Road 7, Hollywood, FL 33023-6756 | 2020-11-03 |
| 1932709748 | Joanna Rodriguez | Pharmacist | 301 S State Road 7, Hollywood, FL 33023-6756 | 2020-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516139 | Jp Rock Consulting Inc | Nurse Practitioner | 5619 Madison St, Hollywood, FL 33023 | 2020-07-23 |
| 1144789843 | Fausta Mortimer Virgile | Nurse Practitioner | 6640 Dahlia Drive, Miramar, FL 33023 | 2019-03-13 |
| 1245758812 | Lunie Madhere | Family Medicine | 7201 Harbour Blvd, Miramar, FL 33023 | 2017-09-05 |
| 1790203305 | Cassandra Mckenley | Occupational Therapy Assistant | 2931 Utopia Dr, Miramar, FL 33023 | 2017-09-04 |
| 1518497130 | Paradise Senior Center Inc | Clinic/Center | 6240 Pembroke Rd, Miramar, FL 33023 | 2017-06-15 |
| 1710416128 | Optimum Health & Nutrition, LLC | Nutritionist | 3261 Sw 64th Terrace, Miramar, FL 33023 | 2017-06-08 |
| 1275064271 | Esther Ranero Carrazana | Behavioral Analyst | 6412 Sw 21st St, Miramar, FL 33023 | 2017-03-22 |
| 1598208944 | Timothy M Johnson | Contractor | 2637 Pine Tree Dr, Miramar, FL 33023 | 2016-12-02 |
| 1619426392 | Tunlab Home Health Agency Inc. | Day Training, Developmentally Disabled Services | 6724 Camelia Drive, Miramar, FL 33023 | 2016-09-23 |
| 1215385182 | Ruth Giraudy | Behavior Technician | 7912 Biltmore Blvd, Miramar, FL 33023 | 2016-06-01 |
| Find all providers in zip 33023 | ||||
| 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 |
|---|---|---|---|---|
| 1962002519 | Sara Margaret Roberts | Pharmacist | 45055 Millstone Ln, Hollywood, MD 20636-2852 | 2020-10-31 |
| 1861092637 | Hina Y Shah | Pharmacist | 11153 Chandler Dr, Hollywood, FL 33026-4740 | 2020-10-29 |
| 1003423377 | Terri Donofrio | Pharmacist | 5678 Captain Kidd Rd, Hollywood, SC 29449-6801 | 2020-09-30 |
| 1932720794 | Olaya Mosquera | Pharmacist | 2140 N 29th Ave Apt 308, Hollywood, FL 33020-1723 | 2020-05-04 |
| 1316576648 | Ekaterina Bernadskiy | Pharmacist | 1261 Coral Ln, Hollywood, FL 33019-2203 | 2020-04-07 |
| 1912405028 | Sherin Varikatt | Pharmacist | 3704 Beach Way, Hollywood, FL 33026-1208 | 2018-01-24 |
| 1164944757 | Olivia Sanchez | Pharmacist | 360 S State Road 7, Hollywood, FL 33023-6718 | 2017-07-14 |
| 1942722681 | Gastro Health, LLC | Pharmacist | 4700 Sheridan St Ste F, Hollywood, FL 33021-3416 | 2017-07-14 |
| 1336661073 | Gastro Health, LLC | Pharmacist | 11011 Sheridan St Ste 109, Hollywood, FL 33026-1501 | 2017-07-14 |
| 1649664541 | Chanel Thompson | Pharmacist | 4820 Johnson St, Hollywood, FL 33021-5211 | 2015-03-28 |
| Find all providers in HOLLYWOOD | ||||
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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.