Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568542017 Individual Practitioner Female Practitioner

Lucille Jackson

Pharmacist • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Lucille Jackson is a registered healthcare professional specializing in Pharmacist in Jackson, MS. Practice services are available at 3502 W NORTHSIDE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3502 W Northside Dr

Jackson, MS 392134454

Telephone 6013625321
Fax 6013645193
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Jackson, MS

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

Practicing in Jackson, MS (2321 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 MS R07490

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

Commercial Insurance / Payer ID Nabp
2518794 (MS)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tiffani Mcknight

Social Worker - Clinical

NPI 1003388968
Katrice Andrews , FNP-C

Nurse Practitioner - Family

NPI 1013451780

Family Nurse Practitioner (Certified)

Ericia Cannon , NURSE PRACTITONER

Nurse Practitioner - Family

NPI 1013473891

NURSEPRACTITONER

Jequetta Mclaurin , FNP

Nurse Practitioner - Family

NPI 1013698513

Family Nurse Practitioner

Dr. Chad Rhoden , MD

Family Medicine

NPI 1043387764

Doctor of Medicine (M.D.)

Shamina Khanum , DENTIST

Dentist - General Practice

NPI 1053724120

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3502 W NORTHSIDE DR, JACKSON, MS 392134454 (Tel: 6013625321)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3502 W NORTHSIDE DR, JACKSON, MS 392134454 (Tel: 6013625321)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LUCILLE JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #R07490 in MS)

🟢
Initial NPI Registration & Enumeration October 17, 2006

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: 1568542017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3502 W Northside Dr

Jackson, MS 392134454

Phone: 6013625321

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.