Joni Jackson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP439270 Issued in PA

Practice address

1610 N Main Street Ext Ste 104
Butler, PA 16001-1513

Phone

(724) 602-0532

Fax

(724) 282-0669

NPI assigned

Aug 30, 2009

Sex

Female

Sole proprietor

Yes

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

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.

• Genoa Healthcare LLC

  • Long Term Care Pharmacy
  • Butler, PA
  • NPI 1083020986
  NPD
• Genoa Healthcare LLC

  • Long Term Care Pharmacy
  • Brockton, MA
  • NPI 1992521512
  NPD (past)

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

{
    "created_epoch": "1251590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1245463868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 N MAIN STREET EXT STE 104",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011513",
            "telephone_number": "724-602-0532",
            "fax_number": "724-282-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 N MAIN STREET EXT STE 104",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011513",
            "telephone_number": "724-602-0532",
            "fax_number": "724-282-0669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "288 Mount Nebo Pointe Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152371317",
            "country_code": "US",
            "telephone_number": "412-536-8201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JONI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-30",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP439270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Stacy Community Mental Health Center
• Erin Leigh Irvin
• Janet Isherwood
• Rena Marissa Israel, PA-C
• Kathleen D Ivory, M.A.
• Rickie Frederick Jackson, M.S. ED., LPC, CADC
• Rose Jacob, M.D.
• Janus RX LLC
• Janus RX LLC
• Patricia J. Jarrett, MD, PHD

• Pharmacist in Butler, PA
• Providers in Butler, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.