Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376810275 Individual Practitioner Female Practitioner

Diane Marie Jackson , RPH

Pharmacist • Cleveland, OH

Professional Overview & Biography Verified Profile Summary

Diane Jackson, RPH is a registered healthcare professional specializing in Pharmacist in Cleveland, OH. Practice services are available at 3415 CLARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3415 Clark Ave

Cleveland, OH 441091135

Telephone 2166510212
Fax 2166514675
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1962417972

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Cleveland, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
668 Specialists

Practicing in Cleveland, OH (11028 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 OH 03225000

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

4 Associated Practitioners
NPI 1356624282

Registered Pharmacist

NPI 1407783574
Brooke Hammill

Pharmacy Technician

NPI 1437897691
NPI 1518243518

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 19, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2011

Registered at 3415 CLARK AVE, CLEVELAND, OH 441091135 (Tel: 2166510212)

📍
Updated Business Mailing Address November 19, 2011

Registered at 3415 CLARK AVE, CLEVELAND, OH 441091135 (Tel: 2166510212)

👤
Provider Name / Credentials Updated November 19, 2011

Recorded as DIANE JACKSON, R.PH.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2011

Pharmacist (License #03225000 in OH)

🟢
Initial NPI Registration & Enumeration November 19, 2011

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: 1376810275
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2011
Last Update: November 19, 2011
Sole Proprietor: Yes

Mailing Address

3415 Clark Ave

Cleveland, OH 441091135

Phone: 2166510212

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.