Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144595968 Individual Practitioner Male Practitioner

Dr. Travis C Jackman , PharmD

Pharmacist • St George, UT

Professional Overview & Biography Verified Profile Summary

Dr. Travis Jackman, PharmD is a registered healthcare professional specializing in Pharmacist in St George, UT. Practice services are available at 617 E RIVERSIDE DR STE 104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

617 E Riverside Dr Ste 104

St George, UT 847908720

Telephone 4356562059
Fax 4356563059
Associated Practice Facility / Clinic
🏢 Fusion Pharmacy Llc Facility NPI 1114439775

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in St George, UT

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

Practicing in St George, UT (2037 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: 2020-12-17
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License UT 4911172-1701

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

1 Associated Practitioners
Makinna Clough

Pharmacy Technician

NPI 1316537913

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 17, 2020

Registered at 617 E RIVERSIDE DR STE 104, ST GEORGE, UT 847908720 (Tel: 4356562059)

📍
Updated Business Mailing Address December 17, 2020

Registered at 1508 BOYS POND CIR, SANTA CLARA, UT 847655736

NPI Profile Active March 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2012

Registered at 2124 RED MESA CIR, SANTA CLARA, UT 847655586 (Tel: 4356323699)

📍
Updated Business Mailing Address March 12, 2012

Registered at 2124 RED MESA CIR, SANTA CLARA, UT 847655586

👤
Provider Name / Credentials Updated March 12, 2012

Recorded as TRAVIS JACKMAN, PHARM D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2012

Pharmacist (License #4911172-1701 in UT)

🟢
Initial NPI Registration & Enumeration March 12, 2012

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: 1144595968
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2012
Last Update: December 17, 2020
Sole Proprietor: Yes

Mailing Address

1508 Boys Pond Cir

Santa Clara, UT 847655736

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.