Jacinta E Jackson

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH024544 Issued in GA

Practice address

303 Charlie Watts Dr
Dallas, GA 30157-4907

Phone

(770) 443-4886

NPI assigned

Jan 21, 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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Dallas, GA
  • NPI 1386930071
  NPD
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1144568536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 CHARLIE WATTS DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301574907",
            "telephone_number": "770-443-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 CHARLIE WATTS DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301574907",
            "telephone_number": "770-443-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JACINTA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH024544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• It Is Well Healthcare, LLC
• It Is Well Healthcare, LLC
• Ivanna Homecare
• Jack F Bickford, DDS, PC
• Armoni Kylia Jackson, RBT
• Symone Jackson, RBT
• Amanda Brooks Jacobs, RBT
• Tammy Natasha Jacobs, LPC
• Tammy Renee James, RN
• Shahzad Janjooa

• Pharmacist in Dallas, GA
• Providers in Dallas, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.