Jackson Justus, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

24043 Issued in IA

Practice address

213 N 13TH St
Centerville, IA 52544-1707

Phone

(641) 437-7200

Fax

(641) 437-7300

NPI assigned

Jan 22, 2021

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

Electronic endpoints 2

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

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.

• Rez Inc

  • Community/Retail Pharmacy
  • Centerville, IA
  • NPI 1437141371
  NPD (past)

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1609466689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N 13TH ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441707",
            "telephone_number": "641-437-7200",
            "fax_number": "641-437-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N 13TH ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441707",
            "telephone_number": "641-437-7200",
            "fax_number": "641-437-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTUS",
        "first_name": "JACKSON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202217164",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "24043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jackson@theowlrx.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "213 N 13th St",
            "city": "Centerville",
            "state": "IA",
            "country_code": "US",
            "postal_code": "525441707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jackson@theowlrx.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "213 N 13th St",
            "city": "Centerville",
            "state": "IA",
            "country_code": "US",
            "postal_code": "525441707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather L Jeffords, PA-C
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• Chelsey Lynn Joiner, CADC
• Sara Beth Juers, PA-C
• Juanita Isal Kahler
• Kirk & Gordy Associates, LLC
• Ashley Klein-Paisley, PT, DPT
• Tanya Lynn Kuhn, MSN, ARNP, FNP-C
• Kathleen A Lange, M.D.

• Pharmacist in Centerville, IA
• Providers in Centerville, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.