Toniyah Vernae Jackson

Primary specialty

PharmacistTaxonomy code 183500000X

License

S025960 Issued in AZ

Practice address

18460 N 7TH St
Phoenix, AZ 85022-1108

Phone

(602) 993-5781

NPI assigned

Aug 30, 2022

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

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 and National Provider Directory roles.

• German Dobson CVS LLC

  • Pharmacy
  • Queen Creek, AZ
  • NPI 1639053374
  NPD (past)
• German Dobson CVS LLC

  • Pharmacy
  • Phoenix, AZ
  • NPI 1871697763
  NPD (past)

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663372800000",
    "number": "1336869304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18460 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850221108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18460 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850221108",
            "telephone_number": "602-993-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TONIYAH",
        "middle_name": "VERNAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-09-17",
        "certification_date": "2022-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S025960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Knapp Jackson
• Sam Jackson, M.D.
• Sherika Marchelle Jackson, LCSW, LCASA
• Takira C. Jackson, LAC
• Tonie Jonee Jackson
• Tonya L. Jackson
• Jacksons Youth and Family Service
• Jacob Hanson DC Inc
• Jacob Transportation Inc
• Annie Jacob, DNP

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2022; 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.