Active NPI
Alisa Jackson, PHARMD
- Pharmacist
- Henderson, TX
National Provider Identifier
1356296859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76915
- Practice address
- 2126 US Highway 79 S
Henderson, TX 75654-4406 - Phone
- (903) 655-7561
- NPI assigned
- Feb 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 76915 | TX | Primary |
Addresses
Primary practice location
2126 US Highway 79 S
Henderson, TX 75654-4406
Mailing address
2126 US Highway 79 S
Henderson, TX 75654-4406
Phone (903) 655-7561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76915 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772236800000",
"number": "1356296859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2126 US HIGHWAY 79 S",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756544406",
"telephone_number": "903-655-7561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 US HIGHWAY 79 S",
"city": "HENDERSON",
"state": "TX",
"postal_code": "756544406",
"telephone_number": "903-655-7561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ALISA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-28",
"last_updated": "2026-02-28",
"certification_date": "2026-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "76915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, TX
- Elizabeth Hughes, RN
- Charles Lynn Hutto, DDS, MSD
- Brenda S Iffland, FNP-C
- Karen Marie Ingram, RPH
- J.L. Miguez, Inc. (NewSound Hearing Aid Centers)
- Brent A Jackson, D.D.S.
- Brian Clark Jackson, D.D.S.
- Chelsi M Jackson, MD
- Jalopy Shoppe, Inc. (Praxair Healthcare Services)
- Jeff D Miller Investments, LLC (Happy at Home Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.