Kayci Morgan Jackson, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-029939 Issued in GA

Practice address

342 Industrial Blvd
Hawkinsville, GA 31036-2103

Phone

(478) 783-1515

NPI assigned

Nov 17, 2020

Last updated

Nov 17, 2020By the provider in NPPES

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

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.

• Community Ancillary Services, Inc.

  dba Eldercare Pharmacy

  • Long Term Care Pharmacy
  • Hawkinsville, GA
  • NPI 1255323788
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1235732835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 GUS CT",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053877",
            "telephone_number": "478-952-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 INDUSTRIAL BLVD",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310362103",
            "telephone_number": "478-783-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KAYCI",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH-029939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Holland, APC
• Jaclyn Howard, PHARM D
• Independence in Home Care
• Independence in-Home Care
• Independence in-Home Care
• Kellontreia Laporche Jackson, A-GNP-C
• Megan B Jacobs, PHARMD.
• Rheal Adrien Janelle Jr., RPH
• Brandi S Jernander, NP-C
• Stephanie Watkins Kirkland, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.