Active NPI
Shiri R Jackson, PHARMD
- Pharmacist
- Salisbury, MD
National Provider Identifier
1144347972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19998
- Practice address
- 125 E North Pointe Dr
Salisbury, MD 21804-2283 - Phone
- (410) 572-8518
- Fax
- (410) 202-3373
- NPI assigned
- Mar 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202204673 | VA | |
| Pharmacist | 183500000X | A1-0004057 | DE | |
| Pharmacist | 183500000X | RP045364L | PA | |
| Pharmacist | 183500000X | 19998 | MD | Primary |
Addresses
Primary practice location
125 E North Pointe Dr
Salisbury, MD 21804-2283
Mailing address
125 E North Pointe Dr
Salisbury, MD 21804-2283
Phone (410) 572-8518
Other practice location 1
1016 S Salisbury Blvd
Salisbury, MD 21801-6361
Phone (410) 572-5891
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 |
|---|---|---|---|
| A1-0004057 | DE | MD | Pharmacist |
| 19998 | MD | MD | Pharmacist |
| RP045364L | PA | MD | Pharmacist |
| 0202204673 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1144347972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E NORTH POINTE DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218042283",
"telephone_number": "410-572-8518",
"fax_number": "410-202-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E NORTH POINTE DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218042283",
"telephone_number": "410-572-8518",
"fax_number": "410-202-3373"
}
],
"practiceLocations": [
{
"address_1": "1016 S Salisbury Blvd",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218016361",
"country_code": "US",
"telephone_number": "410-572-5891",
"fax_number": "410-543-9171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "SHIRI",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202204673",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0004057",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP045364L",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "19998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.