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JACKSON CROUSE
NPI 1104590140
Pharmacist in Virginia Beach, VA

Active since August 03, 2021
1808 SALEM RD, VIRGINIA BEACH, VA 23456(757) 471-1053 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Crouse NPPES

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

JACKSON CROUSE (NPI 1104590140) is an individual pharmacist in Virginia Beach, Virginia, licensed in Virginia (0202219776) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1104590140
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJACKSON CROUSE
Location Address1808 SALEM RDVirginia Beach, VA 23456-1393
Mailing Address3676 Malibu Palms Dr Apt 203Virginia Beach, VA 23452-3676 · (717) 468-0501
Phone(757) 471-1053
Sole ProprietorNo
Enumeration DateAugust 3, 2021
NPPES CertifiedJuly 29, 2021
✔ NPI 1104590140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in VA · 0202219776
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.
1808 SALEM RD, Virginia Beach, VA 23456
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Other Providers at the Same Location NPPES 3

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

MARGARET WALKER MARGARET WALKER
Pharmacist
1808 SALEM RD
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 471-1053
JOHN ANTHONY FORTE III PHARM D., RPH
Pharmacist
1808 SALEM RD
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 471-1053
DECLAN AIDAN BURKE PHARMACY TECHNICIAN
Pharmacy Technician
1808 SALEM RD
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 471-1053

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 Crouse's NPI number?

The NPI number for Jackson Crouse is 1104590140. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Jackson Crouse located?

Jackson Crouse practices at 1808 Salem Rd, Virginia Beach, VA 23456. The listed phone number is (757) 471-1053.

What is Jackson Crouse'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 Crouse was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.