Individual provider Active NPI

Cyrena Brown Jackson, PHARM D

  • Pharmacist
  • New Orleans, LA
National Provider Identifier
1962651083
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17071 Issued in LA
Practice address
3601 Saint Claude Ave
New Orleans, LA 70117-5745
Phone
(504) 322-2200
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17071 LA Primary

Addresses

Primary practice location

3601 Saint Claude Ave
New Orleans, LA 70117-5745

Mailing address

659 Rue Saint Michael
Terrytown, LA 70056-8224
Phone (504) 234-1056

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

LicenseStateTypeSpecialty
17071LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CBJ Ventures LLC Current Accepting new patients
Brown Jackson Enterprise LLC Current Accepting new patients

Locations

3601 Saint Claude Ave
New Orleans, LA 70117
Phone (504) 322-2200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1962651083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 RUE SAINT MICHAEL",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700568224",
            "telephone_number": "504-234-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SAINT CLAUDE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701175745",
            "telephone_number": "504-322-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CYRENA",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "17071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.