Fawn Jackson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD17450 Issued in AR

Practice address

102 N 27TH St
Arkadelphia, AR 71923-4233

Phone

(870) 464-9560

Fax

(870) 464-9561

NPI assigned

Aug 22, 2025

Last updated

Aug 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PPG Store 7 LLC

  dba Heartland Pharmacy Arkadelphia

  • Community/Retail Pharmacy
  • Arkadelphia, AR
  • NPI 1265028120
  NPD

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1366320897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 HASLEY RD",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719238858",
            "telephone_number": "501-297-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N 27TH ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234233",
            "telephone_number": "870-464-9560",
            "fax_number": "870-464-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "FAWN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD17450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darby Elizabeth Hunter, OTR/L
• Susan Delinde Hunter
• Jenna Nicole Hurst, MHPP
• Kara Hurst
• Inspired Success LLC
• Malissa Jackson
• Shauna D Jackson
• Jayla Rose Jacques, MS, CCC-SLP
• James W. Hankins, D.D.S., P.a.
• Mark T Jansen, M.D.

• Pharmacist in Arkadelphia, AR
• Providers in Arkadelphia, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.