Irvin Travis Jackson
Pharmacist • Pine Bluff, AR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Irvin Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Irvin Jackson was a registered Pharmacist practicing in Pine Bluff, AR. Throughout an active medical career spanning 12 years, Irvin Jackson provided care at the practice location at 4720 DOLLARWAY RD until profile deactivation on 2025-01-02.
Practice Location & Contact Primary Location
4720 Dollarway Rd
Pine Bluff, AR 716024126
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in Pine Bluff, AR
Practicing in Pine Bluff, AR (2976 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
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
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Pharmacist
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 02, 2025
NPI status registered as active in NPPES database
Registered at 4720 DOLLARWAY RD, PINE BLUFF, AR 716024126 (Tel: 8705347876)
Registered at 4720 DOLLARWAY RD, PINE BLUFF, AR 716024126 (Tel: 8705347876)
Recorded as IRVIN JACKSON
Pharmacist (License #PD06427 in AR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4720 Dollarway Rd
Pine Bluff, AR 716024126
Phone: 8705347876
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