Active NPI
Jayla Allison Jackson, PHARMD
- Pharmacist
- Navarre, FL
National Provider Identifier
1730791666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61399
- Practice address
- 9360 Navarre Pkwy
Navarre, FL 32566-2910 - Phone
- (850) 939-3717
- NPI assigned
- Aug 21, 2020
- Last updated
- May 15, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61399 | FL | Primary |
Addresses
Primary practice location
9360 Navarre Pkwy
Navarre, FL 32566-2910
Mailing address
9360 Navarre Pkwy
Navarre, FL 32566-2910
Phone (850) 939-3717
Other practice location 1
977 Highway 98 E
Destin, FL 32541-2801
Phone (850) 650-4538
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 |
|---|---|---|---|
| 61399 | FL | MD | Pharmacist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621036800000",
"number": "1730791666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9360 NAVARRE PKWY",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325662910",
"telephone_number": "850-939-3717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9360 NAVARRE PKWY",
"city": "NAVARRE",
"state": "FL",
"postal_code": "325662910",
"telephone_number": "850-939-3717"
}
],
"practiceLocations": [
{
"address_1": "977 Highway 98 E",
"address_purpose": "LOCATION",
"city": "Destin",
"state": "FL",
"postal_code": "325412801",
"country_code": "US",
"telephone_number": "850-650-4538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "JAYLA",
"middle_name": "ALLISON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-21",
"last_updated": "2021-05-15",
"certification_date": "2021-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "61399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Navarre, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.