Individual provider Active NPI

James Arthur Jackson, PHARMD

  • Pharmacist
  • Hoover, AL
National Provider Identifier
1780972604
Registry record updated Jul 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17683 Issued in AL
Practice address
2780 John Hawkins Pkwy
Hoover, AL 35244
Phone
(205) 733-0055
NPI assigned
Jul 12, 2011
Last updated
Jul 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pharmacist 183500000X 17683 AL Primary

Addresses

Primary practice location

2780 John Hawkins Pkwy
Hoover, AL 35244

Mailing address

2780 John Hawkins Pkwy
Hoover, AL 35244-4001
Phone (205) 733-0055

Other practice location 1

3099 Kirklevington Dr
Apt 41
Lexington, KY 40517-2467
Phone (208) 760-7964

Other identifiers 1

IdentifierTypeStateIssuer
17683OtherALPHARMACY LICENSE

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

LicenseStateTypeSpecialty
17683ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530921600000",
    "number": "1780972604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 JOHN HAWKINS PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444001",
            "telephone_number": "205-733-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 JOHN HAWKINS PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-733-0055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3099 Kirklevington Dr",
            "address_2": "APT 41",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405172467",
            "country_code": "US",
            "telephone_number": "208-760-7964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-12",
        "last_updated": "2018-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "17683",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2018; 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.