Gregory Emory Jackson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

035677 Issued in NY

Practice address

526 W 30TH Street
Ny, NY 10001

Phone

(646) 968-4689

NPI assigned

Dec 9, 2007

Sex

Male

Sole proprietor

Yes

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

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • New York, NY
  • NPI 1336700699
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1811170293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W 30 STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "646-968-4689",
            "fax_number": "646-968-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W 30TH STREET",
            "city": "NY",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "646-968-4689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 7th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100116645",
            "country_code": "US",
            "telephone_number": "212-243-2446",
            "fax_number": "212-255-5973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "GREGORY",
        "middle_name": "EMORY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-09",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "035677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamillah Hoy, RD
• Celine E Iledan, RD,CDN
• Lucia Imbesi, LCSW
• Diana Iskhakova, PHARM D
• Michele Itskowitch, LICENSED CLINICAL SO
• Jacob Perlow Hospice
• Mathew Jacob, PH. D
• Joanna Jaouen
• Veronica Jarrett Mackey
• Quavonna Jeffries

• Pharmacist in Ny, NY
• Providers in Ny, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.