Brittain Cole Jackson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

015615 Issued in KY

Practice address

117 Lincoln Dr
Hodgenville, KY 42748

Phone

(270) 358-2117

Fax

(270) 358-2100

NPI assigned

Jul 26, 2012

Sex

Male

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Pharmacy-Center Inc

  • Community/Retail Pharmacy
  • Columbia, KY
  • NPI 1104824424
  NPD Authorized official
• Adair Pharmacy Inc

  • Community/Retail Pharmacy
  • Liberty, KY
  • NPI 1770864852
  NPD
• 0424 Inc

  • Community/Retail Pharmacy
  • Hodgenville, KY
  • NPI 1093035354
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1487900544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 JESSE MURRELL RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427288229",
            "telephone_number": "270-250-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LINCOLN DR",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "42748",
            "telephone_number": "270-358-2117",
            "fax_number": "270-358-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Burkesville St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "KY",
            "postal_code": "427281655",
            "country_code": "US",
            "telephone_number": "270-384-2117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Dillon St",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "KY",
            "postal_code": "425393470",
            "country_code": "US",
            "telephone_number": "606-787-2100",
            "fax_number": "606-787-1874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRITTAIN",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "015615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hodgenville Clinic
• Hodgenville Clinic
• Hodgenville Family Dentistry
• Joseph Andrew Hurst
• Inside Out, LLC
• Shauna Kristen Johnson, APRN
• Larue County Board of Education
• Larue County County Treasurer
• Larue County Geriatric Center, Inc.
• Mariah Lavere

• All providers in Hodgenville, KY
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.

Verify at the official NPI Registry.