Active NPI
Brittain Cole Jackson, PHARMD
- Pharmacist
- Hodgenville, KY
National Provider Identifier
1487900544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 015615
- Practice address
- 117 Lincoln Dr
Hodgenville, KY 42748 - Phone
- (270) 358-2117
- Fax
- (270) 358-2100
- NPI assigned
- Jul 26, 2012
- Last updated
- May 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 015615 | KY | Primary |
Addresses
Primary practice location
117 Lincoln Dr
Hodgenville, KY 42748
Mailing address
311 Jesse Murrell Rd
Columbia, KY 42728-8229
Phone (270) 250-9800
Other practice location 1
803 Burkesville St
Columbia, KY 42728-1655
Phone (270) 384-2117
Other practice location 2
50 Dillon St
Liberty, KY 42539-3470
Phone (606) 787-2100
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 |
|---|---|---|---|
| 015615 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy-Center Inc | Current | Accepting new patients | |
| Adair Pharmacy Inc | Current | Accepting new patients | |
| 0424 Inc | Past | Accepting new patients |
Locations
803 Burkesville St
Columbia, KY 42728
Phone (270) 318-3399
50 Dillon St
Liberty, KY 42539
Phone (606) 787-2100
Organizations & group practices 3
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": "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": []
}Other providers in Hodgenville, KY
Sources for this page
- 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.