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DR. JARRYD A JACKSON PHARMD
NPI 1104190990
Pharmacist in Fayetteville, GA

Active since February 27, 2012
1265 HIGHWAY 54 W, SUITE #201, FAYETTEVILLE, GA 30214(678) 435-3046 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jarryd A Jackson Pharmd NPPES

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

DR. JARRYD A JACKSON PHARMD (NPI 1104190990) is an individual pharmacist in Fayetteville, Georgia, licensed in Georgia (RPH024513) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1104190990
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JARRYD A JACKSONCredential: PHARMD
Location Address1265 HIGHWAY 54 W, SUITE #201Fayetteville, GA 30214-4548
Mailing Address180 Jackson St Ne, Unit #3412Atlanta, GA 30312-1303 · (404) 583-1379
Phone(678) 435-3046
Sole ProprietorYes
Enumeration DateFebruary 27, 2012
✔ NPI 1104190990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in GA · RPH024513✔ Licensed in FL · PS42485✔ Licensed in TX · 46840
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.
1265 HIGHWAY 54 W, Fayetteville, GA 30214
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Other Providers at the Same Location NPPES 20

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

MR. RYAN CHRISTOPHER YOLITZ PT
Physical Therapist
1265 HIGHWAY 54 W, SUITE 103 AND 308
FAYETTEVILLE, GA 30214
Fayette County (770) 460-1900
A CUT ABOVE SURGICAL ASSISTING, LLC
Specialist/Technologist, Other (Surgical Assistant)
1265 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (404) 862-0746
DR. JOHN E BURNEY M.D.
Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 402
FAYETTEVILLE, GA 30214
Fayette County (678) 817-6550
DR. BRYAN L WOODS M.D.
Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 402
FAYETTEVILLE, GA 30214
Fayette County (770) 719-3240
DAVID MICHEL PA
Physician Assistant (Medical)
1265 HIGHWAY 54 W, SUITE 102
FAYETTEVILLE, GA 30214
Fayette County (770) 460-1900
OLUMUYIWA JOSHUA MD
Internal Medicine (Critical Care Medicine)
1265 HIGHWAY 54 W, SUITE 500-D
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5625
CAROL D MARTIN NP
Nurse Practitioner
1265 HIGHWAY 54 W, SUITE 409
FAYETTEVILLE, GA 30214
Fayette County (678) 817-6505
MS. VICKI ROGERS WAUCHOPE M.ED., CCC/A
Audiologist
1265 HIGHWAY 54 W, STE 200
FAYETTEVILLE, GA 30214
Fayette County (404) 785-4768

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 Jarryd Jackson's NPI number?

The NPI number for Jarryd Jackson is 1104190990. It was assigned to this individual provider in the NPPES registry on February 27, 2012.

Where is Jarryd Jackson located?

Jarryd Jackson practices at 1265 Highway 54 W Suite #201, Fayetteville, GA 30214. The listed phone number is (678) 435-3046.

What is Jarryd 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 Jarryd Jackson was last updated on February 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.