Volonda Sheredith Jackson

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

66996 Issued in TX

Practice address

33702 Windcrest Estates Blvd
Magnolia, TX 77354-4860

Phone

(281) 650-3525

NPI assigned

Mar 29, 2018

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

State licenses

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1225533284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 E RIVERSIDE DR APT 6038",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787411037",
            "telephone_number": "281-650-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33702 WINDCREST ESTATES BLVD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544860",
            "telephone_number": "281-650-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "VOLONDA",
        "middle_name": "SHEREDITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "66996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greta Olivia Jackson
• Kamryn Jackson, DDS
• Kellien Michelle Jackson
• Lindsey Jackson
• Priscilla Nichole Jackson, IBCLC
• Jessica Michelle Jaros, RCP, RRT-NPS
• Blair Jarvis
• Kristina Angela Jasso-Lopez, PHARMD
• Jessica Jenkins
• Amber M Jester

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.