JACKSON WIMBERLY
NPI 1063017713
Pharmacist in Rogers, AR

Active since December 01, 2020
1749 W WALNUT ST, ROGERS, AR 72756(479) 246-0871 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackson Wimberly NPPES

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

JACKSON WIMBERLY (NPI 1063017713) is an individual pharmacist in Rogers, Arkansas, licensed in Arkansas (PD15082) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1063017713
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJACKSON WIMBERLY
Location Address1749 W WALNUT STRogers, AR 72756-3323
Mailing Address1749 W Walnut StRogers, AR 72756-3323
Sole ProprietorYes
Enumeration DateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
NPI 1063017713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AR · PD15082
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.

1749 W WALNUT ST, Rogers, AR 72756

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
1749 W WALNUT ST
ROGERS, AR 72756
Pharmacist
1749 W WALNUT ST
ROGERS, AR 72756
Pharmacist
1749 W WALNUT ST
ROGERS, AR 72756
Pharmacist
1749 W WALNUT ST
ROGERS, AR 72756

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 Jackson Wimberly's NPI number?

The NPI number for Jackson Wimberly is 1063017713. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Jackson Wimberly located?

Jackson Wimberly practices at 1749 W Walnut St, Rogers, AR 72756. The listed phone number is (479) 246-0871.

What is Jackson Wimberly'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 Jackson Wimberly was last updated on December 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.