DR. RYAN SCOTT JACKSON PHARMD, RRT
NPI 1114693173
Pharmacist in Camp Lejeune, NC

Active since August 19, 2021
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 450-4357 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ryan Scott Jackson Pharmd, Rrt NPPES

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

DR. RYAN SCOTT JACKSON PHARMD, RRT (NPI 1114693173) is an individual pharmacist in Camp Lejeune, North Carolina, licensed in Maryland (28121) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1114693173
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. RYAN SCOTT JACKSONCredential: PHARMD, RRT
Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575
Mailing Address1404 Wooden Branch CtBel Air, MD 21014-1941 · (240) 593-1900
Sole ProprietorNo
Enumeration DateAugust 19, 2021
NPPES CertifiedAugust 4, 2021
NPI 1114693173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MD · 28121
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.
100 BREWSTER BLVD, Camp Lejeune, NC 28547

Other Identifiers 1

Medicaid28121MD

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.

Emergency Medicine
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Military Health Care Provider (Independent Duty Corpsman)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Physical Therapist
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Nurse Anesthetist, Certified Registered
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Surgery
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Nurse Practitioner (Adult Health)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Student in an Organized Health Care Education/Training Program
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Emergency Medicine
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547

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 Ryan Jackson's NPI number?

The NPI number for Ryan Jackson is 1114693173. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Ryan Jackson located?

Ryan Jackson practices at 100 Brewster Blvd, Camp Lejeune, NC 28547. The listed phone number is (910) 450-4357.

What is Ryan 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 Ryan Jackson was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.