Jason A Jackson

Primary specialty

PharmacistTaxonomy code 183500000X

License

37075 Issued in TX

Practice address

416 S Tyler St
Amarillo, TX 79101-2346

Phone

(806) 322-5924

Fax

(806) 324-5511

NPI assigned

Mar 9, 2020

Last updated

Mar 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1508491614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19900 QUAIL HOLLOW DR",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790156364",
            "telephone_number": "806-236-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S TYLER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791012346",
            "telephone_number": "806-322-5924",
            "fax_number": "806-324-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JASON",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "12239",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "37075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "175064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behnoush Jaberian Doraji, P.A.
• Sheida Jaberian Doraji, DO
• Jack Duncan Rhodes Foundation
• Benjamin T Jackson, HIS
• Caitlyn Jo Jackson, PTA
• Robert E Jackson III, M.D.
• Sandra Rae Jackson
• Tanya Diane Jackson, RNFA
• Keith S Jacoby, D.C.
• Mireya Jaeger

• Pharmacist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.