Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891662854 Individual Practitioner Female Practitioner

Dr. Andra Nicole Jackson , PharmD

Pharmacist • Lilburn, GA

Professional Overview & Biography Verified Profile Summary

Dr. Andra Jackson, PharmD is a registered healthcare professional specializing in Pharmacist in Lilburn, GA. Practice services are available at 4860 STONE MOUNTAIN HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4860 Stone Mountain Hwy

Lilburn, GA 300474618

Telephone 7709722846

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lilburn, GA

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

Practicing in Lilburn, 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

CMS Verified: 2025-10-22
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA RPH035880

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
Juliet Moghalu

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1023609211
NPI 1427649623

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 22, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2025

Registered at 4860 STONE MOUNTAIN HWY, LILBURN, GA 300474618 (Tel: 7709722846)

📍
Updated Business Mailing Address October 22, 2025

Registered at 3222 CHADWICK CT, CONYERS, GA 300136485 (Tel: 4704262023)

👤
Provider Name / Credentials Updated October 22, 2025

Recorded as ANDRA JACKSON, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2025

Pharmacist (License #RPH035880 in GA)

🟢
Initial NPI Registration & Enumeration October 22, 2025

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: 1891662854
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2025
Last Update: October 22, 2025
Sole Proprietor: Yes

Mailing Address

3222 Chadwick Ct

Conyers, GA 300136485

Phone: 4704262023

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.