Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477806131 Individual Practitioner Male Practitioner

Nick Jackson , RPH

Pharmacist • Peshtigo, WI

Professional Overview & Biography Verified Profile Summary

Nick Jackson, RPH is a registered healthcare professional specializing in Pharmacist in Peshtigo, WI. Practice services are available at N3108 SCHACHT RD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

N3108 Schacht Rd.

Peshtigo, WI 54157

Telephone 7155822171
Fax 9208349801

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Peshtigo, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Peshtigo, WI (5503 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 WI 1085340

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License MI 5302021431

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
1982922860 (WI)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1194155267

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2012

Registered at N3108 SCHACHT RD., PESHTIGO, WI 54157 (Tel: 7155822171)

📍
Updated Business Mailing Address October 18, 2012

Registered at N3108 SCHACHT RD, PESHTIGO, WI 541579606 (Tel: 7155822171)

👤
Provider Name / Credentials Updated October 18, 2012

Recorded as NICK JACKSON, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2012

Pharmacist (License #1085340 in WI)

🟢
Initial NPI Registration & Enumeration October 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1477806131
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2012
Last Update: October 18, 2012
Sole Proprietor: No

Mailing Address

N3108 Schacht Rd

Peshtigo, WI 541579606

Phone: 7155822171

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.