Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720072523 Individual Practitioner Male Practitioner

Dr. Jackie Lynn Weaver , DC, PharmD

Chiropractor • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jackie Weaver, DC, PharmD is a registered healthcare professional specializing in Chiropractor in Tyler, TX. Practice services are available at 2726 W GENTRY PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2726 W Gentry Pkwy

Tyler, TX 757021635

Telephone 9035932533
Fax 9035932555
Associated Practice Facility / Clinic
🏢 Woody Weaver Pharmacy Inc Facility NPI 1033109053

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
66 Specialists

Practicing in Tyler, TX (7266 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

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License TX 6129 DC

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License TX 48560

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
001665101 (TX)
Commercial Insurance / Payer ID Blue Cross
8K1680

Career & Practice History Timeline

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

12 Historical Events
NPI Profile Active January 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2017

Registered at 2726 W GENTRY PKWY, TYLER, TX 757021635 (Tel: 9035932533)

📍
Updated Business Mailing Address January 19, 2017

Registered at 2726 W GENTRY PKWY, TYLER, TX 757021635 (Tel: 9035932533)

👤
Provider Name / Credentials Updated January 19, 2017

Recorded as JACKIE WEAVER, DC, PHARM D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Pharmacist (License #48560 in TX)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2017

Chiropractor (License #6129 DC in TX)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3325 CHANDLER HWY, TYLER, TX 757027648 (Tel: 9035312243)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3325 CHANDLER HWY, TYLER, TX 757027648 (Tel: 9035312243)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACKIE WEAVER, DC

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

Chiropractor (License #6129 DC in TX)

🟢
Initial NPI Registration & Enumeration September 07, 2005

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: 1720072523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2005
Last Update: January 19, 2017
Sole Proprietor: Yes

Mailing Address

2726 W Gentry Pkwy

Tyler, TX 757021635

Phone: 9035932533

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.