Renese Jackson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS47347 Issued in FL

Practice address

7100 W Highway 98
Panama City Beach, FL 32407-4801

Phone

(850) 234-6242

NPI assigned

Apr 18, 2013

Sex

Female

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1124462445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W HIGHWAY 98",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074801",
            "telephone_number": "850-234-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W HIGHWAY 98",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074801",
            "telephone_number": "850-234-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RENESE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheyda Isazadeh-Khaylani, DC
• J Grant Shuflitowski MD PA Gulf View Family Medical Center
• J L L MD Inc
• Deaundra Brisha Jackson, M.A
• Heather Jackson, LMHC
• Thomas Albert Jacobson, M.D.
• Timothy Scott Jarrett
• Jessica Jaworski, ARNP, NP-C
• Salena Jerkins, ARNP FNP-C
• Jessica L Clark MD LLC

• Pharmacist in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.