Susan Jackson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5798331-1701 Issued in UT

Practice address

5540 S 900 E
Salt Lake City, UT 84117-7206

Phone

(801) 262-2981

NPI assigned

Sep 9, 2010

Sex

Female

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

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1538476601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 BLAINE AVE",
            "address_2": "APT B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082908",
            "telephone_number": "801-484-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177206",
            "telephone_number": "801-262-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SUSAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "5798331-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Jackson, PT
• Sarah C Jackson
• Steven Laine Jackson, PH.D.
• Steven Taylor Jackson, MD
• Summer Jackson, DPT
• Taylor S. Jackson, DO
• William Daniel Jackson, M.D.
• Devon Jacob
• Sharlene Malani Jacob
• Alana Jacobs-Davis, PH.D. MSN

• Pharmacist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.