Jackson McIntosh

Primary specialty

PharmacistTaxonomy code 183500000X

License

2019031415 Issued in MO

Practice address

8509 State Line Rd
Kansas City, MO 64114-2723

Phone

(816) 444-0019

NPI assigned

Nov 20, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1003419987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8509 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142723",
            "telephone_number": "816-444-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "JACKSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2019031415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan McHugh, MSW, LCSW
• Young Chiduziem McIkechi
• Jessica McIlhenney
• Jacob Alan McIntire, DO
• Amanda Marie McIntosh, MD
• Julia Elizabeth McIntosh, MD
• Lorraine McIntosh
• Lynn L McIntosh, D.C.
• Rylie Hess McIntosh, MD
• Beth Ann McIntyre

• Pharmacist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.