Active NPI
Cyrena Brown Jackson, PHARM D
- Pharmacist
- New Orleans, LA
National Provider Identifier
1962651083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17071
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17071 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pharmacy
- New Orleans, LA
- NPI 1619446523
-
- Community/Retail Pharmacy
- New Orleans, LA
- NPI 1720253511
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.