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: July 19, 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
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

Other Providers at the Same Location NPPES 19

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

Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 402
FAYETTEVILLE, GA 30214
Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 409
FAYETTEVILLE, GA 30214
Internal Medicine (Gastroenterology)
1265 HIGHWAY 54 W, STE 409
FAYETTEVILLE, GA 30214
Specialist
1265 HIGHWAY 54 W, SUITE 410
FAYETTEVILLE, GA 30214
Audiologist
1265 HIGHWAY 54 W, SUITE 304
FAYETTEVILLE, GA 30214
Audiologist
1265 HIGHWAY 54 W, STE 200
FAYETTEVILLE, GA 30214
Surgery
1265 HIGHWAY 54 W, SUITE 201
FAYETTEVILLE, GA 30214
Specialist
1265 HIGHWAY 54 W, SUITE 500B
FAYETTEVILLE, GA 30214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104190990, enumerated as an "individual" on February 27, 2012.

The provider is located at 1265 HIGHWAY 54 W SUITE #201 FAYETTEVILLE, GA 30214 and the phone number is (678) 435-3046.

Pharmacist with taxonomy code 183500000X.