Active NPI
Jordyn Jackson
- Pharmacist
- Pink Hill, NC
National Provider Identifier
1952215469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35012
- Practice address
- 4459 Tarheel Dr
Pink Hill, NC 28572-9649 - Phone
- (866) 768-8479
- NPI assigned
- Oct 1, 2026
- 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 | 35012 | NC | Primary |
Addresses
Primary practice location
4459 Tarheel Dr
Pink Hill, NC 28572-9649
Mailing address
4459 Tarheel Dr
Pink Hill, NC 28572-9649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1952215469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4459 TARHEEL DR",
"city": "PINK HILL",
"state": "NC",
"postal_code": "285729649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4459 TARHEEL DR",
"city": "PINK HILL",
"state": "NC",
"postal_code": "285729649",
"telephone_number": "866-768-8479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "JORDYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-01",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "35012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pink Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.