Active NPI
Reece Jackson, PHARMD
- Pharmacist
- Erlanger, KY
National Provider Identifier
1053046367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03441882
- Practice address
- 1360 Dolwick Dr
Erlanger, KY 41018-3127 - Phone
- (859) 344-5555
- Fax
- (859) 344-5552
- NPI assigned
- Jul 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03441882 | KY | Primary |
Addresses
Primary practice location
1360 Dolwick Dr
Erlanger, KY 41018-3127
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555
Other practice location 1
2170 Anderson Ferry Rd
Cincinnati, OH 45238-3328
Phone (513) 922-4271
Other practice location 2
10450 New Haven Rd
Harrison, OH 45030-2780
Phone (513) 367-5888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03441882 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1053046367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-344-5555",
"fax_number": "859-344-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 DOLWICK DR",
"city": "ERLANGER",
"state": "KY",
"postal_code": "410183127",
"telephone_number": "859-344-5555",
"fax_number": "859-344-5552"
}
],
"practiceLocations": [
{
"address_1": "2170 Anderson Ferry Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452383328",
"country_code": "US",
"telephone_number": "513-922-4271",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10450 New Haven Rd",
"address_purpose": "LOCATION",
"city": "Harrison",
"state": "OH",
"postal_code": "450302780",
"country_code": "US",
"telephone_number": "513-367-5888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "REECE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-20",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "03441882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erlanger, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.