Nicholas Dwayne Jackson, PHARMD

Pharmacist · Coeburn, VA

Individual Active NPI

NPI number 1528670916

Practice location

201 Laurel Ave
Coeburn, VA 24293
Phone
(276) 807-7106
Fax
(276) 807-7341

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NPI record

NPI
1528670916
Entity type
Individual (Type 1)
Enumeration date
August 18, 2020
Last updated
August 18, 2020
Certified
August 18, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 0202208432 VA

Mailing address

PO Box 1439
Coeburn, VA 24230-1439
Phone
(276) 807-7106
Fax
(276) 807-7341

About Dr. Jackson

Nicholas Dwayne Jackson, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 201 Laurel Ave, Coeburn, VA 24293. The NPI number 1528670916 was assigned on August 18, 2020 and the record was last updated on August 18, 2020.

Dr. Jackson lists a license in the registry: #0202208432 (VA) 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 Nicholas Dwayne Jackson, PHARMD?

The NPI number is 1528670916.

What is the phone number of Dr. Jackson?

The phone number listed for the practice location is (276) 807-7106.

Where is Dr. Jackson located?

201 Laurel Ave, Coeburn, VA 24293.

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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