Active NPI
Ronnika Michelle Jackson-Dillon, PHARMD
- Pharmacist
- Middleburg, FL
National Provider Identifier
1407313893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS47329
- Practice address
- 1580 Branan Field Rd
Middleburg, FL 32068-8427 - Phone
- (904) 214-9115
- NPI assigned
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST018896 | LA | |
| Pharmacist | 183500000X | PS47329 | FL | Primary |
Addresses
Primary practice location
1580 Branan Field Rd
Middleburg, FL 32068-8427
Mailing address
483 Saint Kitts Loop
St Augustine, FL 32092-1182
Phone (504) 940-8304
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 |
|---|---|---|---|
| PS47329 | FL | MD | Pharmacist |
| PST018896 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1407313893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "483 SAINT KITTS LOOP",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320921182",
"telephone_number": "504-940-8304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 BRANAN FIELD RD",
"city": "MIDDLEBURG",
"state": "FL",
"postal_code": "320688427",
"telephone_number": "904-214-9115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON-DILLON",
"first_name": "RONNIKA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST018896",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS47329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.