MR. ROYCE EUGENE JACKSON RPH
NPI 1104794908
Pharmacist - Geriatric in Tyler, TX

NPI Status: Active since October 24, 2025

Contact Information

STEPHENSON PHARMACY
1000 S. FLEISHEL
TYLER, TX
ZIP 75701
Phone: (903) 593-0236
Fax: (903) 593-9375

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  • Individual
  • Male
  • Pharmacist
  • Geriatric

About ROYCE JACKSON

This page provides the complete NPI Profile along with additional information for Royce Jackson, a provider established in Tyler, Texas with a medical specialization in Pharmacist, focusing in geriatric . The healthcare provider is registered in the NPI registry with number 1104794908 assigned on October 2025. The practitioner's primary taxonomy code is 1835G0303X with license number 17513 (TX). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1104794908
Provider Name
MR. ROYCE EUGENE JACKSON RPH
Gender
Male
Entity Type
Individual
Location Address
STEPHENSON PHARMACY 1000 S. FLEISHEL TYLER, TX 75701
Location Phone
(903) 593-0236
Location Fax
(903) 593-9375
Mailing Address
701 W. RIEK ROAD TYLER, TX 75703
Mailing Phone
(903) 539-2413
Is Sole Proprietor?
No
Enumeration Date
10-24-2025
Last Update Date
10-24-2025
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A pharmacist like Royce Jackson fills prescription medications, verifying instructions from physicians and offers expertise in the safe use of prescriptions. Pharmacists instruct patients on how to take a prescribed medicine and educate patients about potential side effects. Pharmacists might also conduct health and wellness screenings, provide immunizations, oversee the medications given to patients, and provide advice on healthy lifestyles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacist Geriatric

Taxonomy Code
1835G0303X
Type
Pharmacy Service Providers
License No.
17513
License State
TX
Taxonomy Description
A pharmacist who is certified in geriatric pharmacy practice is designated as a Certified Geriatric Pharmacist (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104794908, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 4 + 9 + 8 + 9 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1104794908.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104794908, enumerated as an "individual" on October 24, 2025.

The provider is located at STEPHENSON PHARMACY 1000 S. FLEISHEL TYLER, TX 75701 and the phone number is (903) 593-0236.

Pharmacist with taxonomy code 1835G0303X and a focus in Geriatric.