Cynthia Hess Jackson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202006383 Issued in VA

Practice address

31 Midway St
Bristol, VA 24201-3246

Phone

(276) 642-0035

Fax

(276) 642-0036

NPI assigned

Dec 8, 2010

Last updated

Dec 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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

• Kroger Limited Partnership I

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Bristol, VA
  • NPI 1245264019
  NPD (past)

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1184927428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81",
            "address_2": "801 PURCELL RD",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242660081",
            "telephone_number": "276-608-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MIDWAY ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013246",
            "telephone_number": "276-642-0035",
            "fax_number": "276-642-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CYNTHIA",
        "middle_name": "HESS",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202006383",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imgrx East, LLC (Southwest Virginia Community Pharmacy)
• Immediate Care, LLC (Med Express)
• Infinity Healthcare
• Inspire Laboratories LLC
• Iwc Services Virginia PLLC
• James M. Seaver, D.D.S. & Tyler L. Pittman, D.D.S. P.C.
• Janie Hammit Memorial, Inc. (Janie Hammit Children's Home)
• Brittany Leigh Jessee, DPT
• Alice Jessen, RPRS
• Ronald Dean Jessup, D.M.D.

• Pharmacist in Bristol, VA
• Providers in Bristol, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.