Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528670916 Individual Practitioner Male Practitioner

Dr. Nicholas Dwayne Jackson , PharmD

Pharmacist • Coeburn, VA

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Jackson, PharmD is a registered healthcare professional specializing in Pharmacist in Coeburn, VA. Practice services are available at 201 LAUREL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 Laurel Ave

Coeburn, VA 24293

Telephone 2768077106
Fax 2768077341
Associated Practice Facility / Clinic
🏢 Ttgi Corp Facility NPI 1447736152

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Coeburn, VA

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

Practicing in Coeburn, VA (6716 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: 2020-08-18
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License VA 0202208432

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
NPI 1912518176

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 18, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2020

Registered at 201 LAUREL AVE, COEBURN, VA 24293 (Tel: 2768077106)

📍
Updated Business Mailing Address August 18, 2020

Registered at PO BOX 1439, COEBURN, VA 242301439 (Tel: 2768077106)

👤
Provider Name / Credentials Updated August 18, 2020

Recorded as NICHOLAS JACKSON, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2020

Pharmacist (License #0202208432 in VA)

🟢
Initial NPI Registration & Enumeration August 18, 2020

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: 1528670916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2020
Last Update: August 18, 2020
Sole Proprietor: No

Mailing Address

Po Box 1439

Coeburn, VA 242301439

Phone: 2768077106

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.