April Rose Jackson, PHARMD
Individual provider Active NPI Pharmacist · Sisseton, SD
NPI 1275376337 · NPPES record last updated Jun 17, 2024
Key facts
- NPI
- 1275376337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 6595 (SD)
- Practice address
- 100 Lake Traverse Dr
Sisseton, SD 57262-7046 - Phone
- (605) 880-1691
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6595 | SD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6595 | SD | Yes |
Addresses
Primary practice location
100 Lake Traverse Dr
Sisseton, SD 57262-7046
Mailing address
100 Lake Traverse Dr
Sisseton, SD 57262-7046
Phone (605) 880-1691
Other providers in Sisseton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.