Charles Jackson

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

4128 Andover St
New Port Richey, FL 34653-6203

Phone

(850) 665-5766

NPI assigned

Apr 15, 2026

Last updated

Apr 15, 2026By the provider in NPPES

Sex

Male

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

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.

• Dragon Core Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • New Port Richey, FL
  • NPI 1477494615
  NPD Authorized official
• Woredox LLC

  • Durable Medical Equipment & Medical Supplies
  • New Port Richey, FL
  • NPI 1609793553
  NPD (past) Authorized official

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1326982836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 ANDOVER ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536203",
            "telephone_number": "850-665-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4128 ANDOVER ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536203",
            "telephone_number": "850-665-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ivanov, M.S.
• Joann Ivy, DC
• Akila A Iyer, MD
• Joni Faye A. Jabonite, M.D.
• Ashley T Jackson, APRN
• Daniella Jackson, PH.D, LMHC
• Melinda Kay Jackson, ARNP
• Robert Allen Jackson, DC
• Selena Brooke Jackson, MA
• Madelaine J Jacobs

• Durable Medical Equipment & Medical Supplies in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.