Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407337306 Individual Practitioner Female Practitioner

Jackleen Fan

Pharmacist • Evans, GA

Professional Overview & Biography Verified Profile Summary

Jackleen Fan is a registered healthcare professional specializing in Pharmacist in Evans, GA. Practice services are available at 4310 WASHINGTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4310 Washington Rd

Evans, GA 308093957

Telephone 7068604179
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1790925691

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Evans, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
46 Specialists

Practicing in Evans, GA (8508 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA RPH030830

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

6 Associated Practitioners
NPI 1003123860

Doctor of Pharmacy (Pharm.D.)

NPI 1174803811

Bachelor of Science

NPI 1316498710

Doctor of Pharmacy (Pharm.D.)

NPI 1336690312

Doctor of Pharmacy (Pharm.D.)

NPI 1376090001

Doctor of Pharmacy (Pharm.D.)

Josef Knecht

Pharmacist

NPI 1891177234

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 28, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2018

Registered at 4310 WASHINGTON RD, EVANS, GA 308093957 (Tel: 7068604179)

📍
Updated Business Mailing Address August 28, 2018

Registered at 372 COLLINS GLEN CT, LAWRENCEVILLE, GA 300436848 (Tel: 7067739237)

👤
Provider Name / Credentials Updated August 28, 2018

Recorded as JACKLEEN FAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2018

Pharmacist (License #RPH030830 in GA)

🟢
Initial NPI Registration & Enumeration August 28, 2018

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: 1407337306
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2018
Last Update: August 28, 2018
Sole Proprietor: No

Mailing Address

372 Collins Glen Ct

Lawrenceville, GA 300436848

Phone: 7067739237

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.