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MARISSA NOELLE JACKSON PHARMD
NPI 1023757192
Pharmacist in Dpo, AA

Active since May 27, 2022
MOODY AIRFORCE BASE, BEMISS ROAD, DPO, AA 31699(229) 257-4211 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 5, 2022, May 27, 2022 (2 updates tracked since 2022).

About Marissa Noelle Jackson Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA NOELLE JACKSON PHARMD (NPI 1023757192) is an individual pharmacist in Dpo, AA, licensed in Florida (62552) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1023757192
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMARISSA NOELLE JACKSONCredential: PHARMD
Location AddressMOODY AIRFORCE BASE, BEMISS ROADDpo, AA 31699
Mailing Address3278 Mitchell BlvdMoody Afb, GA 31699-1500 · (229) 257-3221
Phone(229) 257-4211
Sole ProprietorNo
Enumeration DateMay 27, 2022
Last NPPES UpdateJuly 5, 20222 updates tracked since enumeration
NPPES CertifiedJuly 5, 2022
✔ NPI 1023757192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in FL · 62552
Definition
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.
MOODY AIRFORCE BASE, Dpo, AA 31699
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Other Identifiers 1

Medicaid62552FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Jackson's NPI number?

The NPI number for Marissa Jackson is 1023757192. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Where is Marissa Jackson located?

Marissa Jackson practices at Moody Airforce Base Bemiss Road, Dpo, AA 31699. The listed phone number is (229) 257-4211.

What is Marissa Jackson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Marissa Jackson was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.