Tara B Jackson

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

16335 Issued in NC

Practice address

408 Northeast Blvd
Clinton, NC 28328-2434

Phone

(910) 592-3121

NPI assigned

Nov 11, 2020

Last updated

Feb 20, 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

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.

• Pharming Company

  dba Matthews Drug Store

  • Long Term Care Pharmacy
  • Clinton, NC
  • NPI 1477255784
  NPD (past) Authorized official
• Pharming Company

  dba Matthews Drug Store

  • Durable Medical Equipment & Medical Supplies
  • Clinton, NC
  • NPI 1710620935
  NPD (past) Authorized official
• Pharming Company

  dba Matthews Drug Store

  • Community/Retail Pharmacy
  • Clinton, NC
  • NPI 1740923960
  NPD (past) Authorized official

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1396347605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282434",
            "telephone_number": "910-592-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282434",
            "telephone_number": "910-592-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TARA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "16335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Istoni - Cadena
• Crystal Jackson
• Liza Deal Jackson, MPT
• Samantha Jackson
• Shantel Jackson, MS, CCC/SLP
• Timothy Randall Jackson Jr.
• Sophia Gabrielle Jacome Singletary, PHARMD
• Lauren Brooke James, DO
• Janice Fayes Ranch Inc
• Jeffrey G. Bell, D.D.S., P.L.L.C.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Clinton, NC
• Providers in Clinton, NC by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.