Active NPI
Mackenzie Jackson
- Pharmacist
- Charlottesville, VA
National Provider Identifier
1962324848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202223750
- Practice address
- 1215 Lee St
Charlottesville, VA 22908-0816 - Phone
- (434) 924-3627
- NPI assigned
- Jul 29, 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 | 0202223750 | VA | Primary |
Addresses
Primary practice location
1215 Lee St
Charlottesville, VA 22908-0816
Mailing address
210 Reserve Blvd Apt 405
Charlottesville, VA 22901-1597
Phone (803) 246-1096
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1962324848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 RESERVE BLVD APT 405",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011597",
"telephone_number": "803-246-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 LEE ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229080816",
"telephone_number": "434-924-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MACKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-29",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202223750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.