Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124690680 Individual Practitioner Male Practitioner

Stephen Jackson

Pharmacist • Bentonville, AR

Professional Overview & Biography Verified Profile Summary

Stephen Jackson is a registered healthcare professional specializing in Pharmacist in Bentonville, AR. Practice services are available at 3500 SE CLUB BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3500 Se Club Blvd

Bentonville, AR 727125182

Telephone 4796210283
Associated Practice Facility / Clinic
🏢 Sams West Inc Facility NPI 1689685109

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bentonville, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
89 Specialists

Practicing in Bentonville, AR (2976 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-14
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AR PD15834

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1366042566

Registered Pharmacist

NPI 1750982161

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 14, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2021

Registered at 3500 SE CLUB BLVD, BENTONVILLE, AR 727125182 (Tel: 4796210283)

📍
Updated Business Mailing Address July 14, 2021

Registered at 400 S DODSON RD, ROGERS, AR 727585112 (Tel: 3185507258)

👤
Provider Name / Credentials Updated July 14, 2021

Recorded as STEPHEN JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2021

Pharmacist (License #PD15834 in AR)

🟢
Initial NPI Registration & Enumeration July 14, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124690680
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2021
Last Update: July 14, 2021
Sole Proprietor: No

Mailing Address

400 S Dodson Rd

Rogers, AR 727585112

Phone: 3185507258

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.