John William Jackson, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH 31998 Issued in CA

Practice address

26611 Cabot Road
Suite B
Laguna Hills, CA 92653-7018

Phone

(949) 348-7900

Fax

(949) 582-6111

NPI assigned

Jun 22, 2016

Last updated

Jun 22, 2016By 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 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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1649621541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26611 CABOT ROAD",
            "address_2": "SUITE B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537018",
            "telephone_number": "949-348-7900",
            "fax_number": "949-582-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26611 CABOT ROAD",
            "address_2": "SUITE B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537018",
            "telephone_number": "949-348-7900",
            "fax_number": "949-582-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 31998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.