Stacey A. Jackson, PHARMD

Pharmacist · Sergeant Bluff, IA

Individual Active NPI

NPI number 1457470726

Practice location

105 Gaul Dr Ste a
Sergeant Bluff, IA 51054-8963
Phone
(712) 943-1494
Fax
(712) 943-1496

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NPI record

NPI
1457470726
Entity type
Individual (Type 1)
Enumeration date
March 28, 2007
Last updated
January 13, 2021
Certified
January 13, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 19811 IA

Mailing address

310 Expedition Rd
Ponca, NE 68770-7315
Phone
(402) 755-2663

About Dr. Jackson

Stacey A. Jackson, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 105 Gaul Dr Ste a, Sergeant Bluff, IA 51054-8963. The NPI number 1457470726 was assigned on March 28, 2007 and the record was last updated on January 13, 2021.

Dr. Jackson lists a license in the registry: #19811 (IA) 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 Stacey A. Jackson, PHARMD?

The NPI number is 1457470726.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (712) 943-1494.

Where is Dr. Jackson located?

105 Gaul Dr Ste a, Sergeant Bluff, IA 51054-8963.

What is the taxonomy code for Dr. Jackson?

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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