Jackson Wimberly

Pharmacist · Rogers, AR

Individual Active NPI

NPI number 1063017713

Practice location

1749 W Walnut St
Rogers, AR 72756-3323
Phone
(479) 246-0871

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NPI record

NPI
1063017713
Entity type
Individual (Type 1)
Enumeration date
December 1, 2020
Last updated
December 1, 2020
Certified
December 1, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PD15082 AR

About Jackson Wimberly

Jackson Wimberly is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1749 W Walnut St, Rogers, AR 72756-3323. The NPI number 1063017713 was assigned on December 1, 2020 and the record was last updated on December 1, 2020.

Jackson Wimberly lists a license in the registry: #PD15082 (AR) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jackson Wimberly?

The NPI number is 1063017713.

What is the phone number of Jackson Wimberly?

The phone number listed for the practice location is (479) 246-0871.

Where is Jackson Wimberly located?

1749 W Walnut St, Rogers, AR 72756-3323.

What is the taxonomy code for Jackson Wimberly?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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