Active NPI
Janjay Eric Jackson, PHARMD
- Cardiology Pharmacist
- Aston, PA
National Provider Identifier
1700694585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiology Pharmacist
- License
- RP459101
- Practice address
- 3620 Concord Rd
Aston, PA 19014-3601 - Phone
- (610) 485-8102
- NPI assigned
- Dec 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiology Pharmacist | 1835C0206X | RP459101 | PA | Primary |
Addresses
Primary practice location
3620 Concord Rd
Aston, PA 19014-3601
Mailing address
2091 Kent Rd
Folcroft, PA 19032-1613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP459101 | PA | MD | Medical license number |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Aston, PA
- NPI 1154336048
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1700694585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2091 KENT RD",
"city": "FOLCROFT",
"state": "PA",
"postal_code": "190321613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 CONCORD RD",
"city": "ASTON",
"state": "PA",
"postal_code": "190143601",
"telephone_number": "610-485-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JANJAY",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-24",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0206X",
"taxonomy_group": "",
"desc": "Pharmacist, Cardiology",
"state": "PA",
"license": "RP459101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.