Active NPI
Michael A Jackson
- Pharmacist
- Littleton, NC
National Provider Identifier
1790045763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12607
- Practice address
- 123 East South Main St
Littleton, NC 27850 - Phone
- (252) 586-3414
- Fax
- (252) 586-7377
- NPI assigned
- May 23, 2012
- Last updated
- May 23, 2012
- Sex
- Male
- 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 | 12607 | NC | Primary |
Addresses
Primary practice location
123 East South Main St
Littleton, NC 27850
Mailing address
PO Box 532
Littleton, NC 27850-0532
Phone (252) 586-3414
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12607 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337731200000",
"number": "1790045763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 532",
"city": "LITTLETON",
"state": "NC",
"postal_code": "278500532",
"telephone_number": "252-586-3414",
"fax_number": "252-586-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 EAST SOUTH MAIN ST",
"city": "LITTLETON",
"state": "NC",
"postal_code": "27850",
"telephone_number": "252-586-3414",
"fax_number": "252-586-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MICHAEL",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-23",
"last_updated": "2012-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littleton, NC
- GWM Enterprises Inc (Drugco Discount Pharmacy)
- GWM Enterprises Inc (Drugco Lake Gaston)
- Handsandhearts4Helpingllc
- Hicks Home
- Auburn Hunter, PA
- Darlene Christine Kocich, FNP-C
- Lake Gaston Opco Holdings, LLC (Landings of Lake Gaston)
- Littleton Family Practice
- Littleton Pharmacy Inc.
- Jennifer Denise Lynch
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.