Erin Nicole Jacks, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS53476 Issued in FL

Practice address

6524 Tanglewood Bay Dr Apt 1924
Orlando, FL 32821-9377

Phone

(863) 255-1502

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1497363717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 TANGLEWOOD BAY DR APT 1924",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328219377",
            "telephone_number": "863-255-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6524 TANGLEWOOD BAY DR APT 1924",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328219377",
            "telephone_number": "863-255-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKS",
        "first_name": "ERIN",
        "middle_name": "NICOLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS53476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erin.jacks@guardianpharmacy.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6524 Tanglewood Bay Dr Apt 1924",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328219377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carlos M Jacinto, MD
• Jack Faup MD PA
• Jack T Weaver DPM DO MD PA
• Debra C Jack, RN
• Joricely Jack
• Jackson Therapy Partners
• Akenia Jackson, LPN
• Alexandria Jackson
• Angela Evonne Jackson, LMT/MMP
• Artavia Jackson

• Pharmacist in Orlando, FL
• Providers in Orlando, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.