Active NPI
Jkiya Jackson, PHARMD
- Pharmacist
- Sun City West, AZ
National Provider Identifier
1841973005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S026604
- Practice address
- 13503 W Camino del Sol
Sun City West, AZ 85375-4138 - Phone
- (623) 584-0501
- NPI assigned
- Aug 14, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | S026604 | AZ | Primary |
Addresses
Primary practice location
13503 W Camino del Sol
Sun City West, AZ 85375-4138
Mailing address
16485 N Stadium Way Unit 2030
Surprise, AZ 85374-4384
Phone (601) 259-7217
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 |
|---|---|---|---|
| S026604 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1841973005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16485 N STADIUM WAY UNIT 2030",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853744384",
"telephone_number": "601-259-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13503 W CAMINO DEL SOL",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853754138",
"telephone_number": "623-584-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JKIYA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S026604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.