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MISS ANDREA TIGGLER JACKSON RPH
NPI 1104854603
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Decatur, GA

Active since June 30, 2006
1670 CLAIRMONT RD, DECATUR, GA 30033(404) 321-6111(404) 728-4707 Get Directions Write a Review

NPPES record last updated: December 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Andrea Tiggler Jackson Rph NPPES

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

MISS ANDREA TIGGLER JACKSON RPH (NPI 1104854603) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Decatur, Georgia, licensed in Georgia (RPH19463) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104854603
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameMISS ANDREA TIGGLER JACKSONCredential: RPH
Location Address1670 CLAIRMONT RDDecatur, GA 30033-4004
Mailing Address8270 Knollbrook LnMcdonough, GA 30253-8513 · (770) 320-8484
Phone(404) 321-6111
Fax(404) 728-4707
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateDecember 27, 2012
✔ NPI 1104854603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in GA · RPH19463
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License 9162 (SC), 19463 (GA)
1670 CLAIRMONT RD, Decatur, GA 30033
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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.

MRS. LAPARISIENNE MOORE-BROWN LMSW
Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
BRANDON HAYGOOD
Social Worker
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
ARIANNE JAMES
Registered Nurse
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
KARLA MARIE GARCIA ORTIZ MD
Family Medicine
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (044) 680-7354
MRS. JENNIFER REBECCA MUNRO MS, CCC/SLP
Speech-Language Pathologist
1670 CLAIRMONT RD, ATLANTA VAMC CODE 126 AUDIOLOGY AND SPEECH PATHOLOGY
DECATUR, GA 30033
Dekalb County (404) 417-2953
DR. NED WILSON HOLLAND MD
Internal Medicine (Geriatric Medicine)
1670 CLAIRMONT RD, VAMC - 11B
DECATUR, GA 30033
Dekalb County (404) 321-6111
MR. ROOSEVELT N/A DAVIS RPH
Pharmacist (Pharmacotherapy)
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
CEDRELLA CAROL JONES-TAYLOR M.D.
Internal Medicine
1670 CLAIRMONT RD, PRIMARY CARE
DECATUR, GA 30033
Dekalb County (404) 321-6111

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 Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1104854603. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Andrea Jackson located?

Andrea Jackson practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 321-6111.

What is Andrea Jackson's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Andrea Jackson was last updated on December 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.