Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114693173 Individual Practitioner Male Practitioner

Dr. Ryan Scott Jackson , PharmD, RRT

Pharmacist • Camp Lejeune, NC

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Jackson, PharmD, RRT is a registered healthcare professional specializing in Pharmacist in Camp Lejeune, NC. Practice services are available at 100 BREWSTER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Brewster Blvd

Camp Lejeune, NC 285472575

Telephone 9104504357
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Camp Lejeune, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
64 Specialists

Practicing in Camp Lejeune, NC (9829 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: 2021-08-04
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MD 28121

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
28121 (MD)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jeremy Moore , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003425117

Certified Registered Nurse Anesthetist

Nathan Snyder

Student in an Organized Health Care Education/Training Program

NPI 1013764869
Jason Fleenor

Anesthesiology

NPI 1023474897
Jason Hannibal , PA-C

Physician Assistant

NPI 1043811201

Physician Assistant (Certified)

NPI 1043923105

Doctor of Medicine (M.D.)

Jenny Oliver , PA-C

Physician Assistant

NPI 1053072173

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2021

Registered at 100 BREWSTER BLVD, CAMP LEJEUNE, NC 285472575 (Tel: 9104504357)

📍
Updated Business Mailing Address August 19, 2021

Registered at 1404 WOODEN BRANCH CT, BEL AIR, MD 210141941 (Tel: 2405931900)

👤
Provider Name / Credentials Updated August 19, 2021

Recorded as RYAN JACKSON, PHARMD, RRT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2021

Pharmacist (License #28121 in MD)

🟢
Initial NPI Registration & Enumeration August 19, 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: 1114693173
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2021
Last Update: August 19, 2021
Sole Proprietor: No

Mailing Address

1404 Wooden Branch Ct

Bel Air, MD 210141941

Phone: 2405931900

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.