STEPHEN JACKSON
NPI 1124690680
Pharmacist in Bentonville, AR

Active since July 14, 2021
3500 SE CLUB BLVD, BENTONVILLE, AR 72712(479) 621-0283 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephen Jackson NPPES

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

STEPHEN JACKSON (NPI 1124690680) is an individual pharmacist in Bentonville, Arkansas, licensed in Arkansas (PD15834) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1124690680
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameSTEPHEN JACKSON
Location Address3500 SE CLUB BLVDBentonville, AR 72712-5182
Mailing Address400 S Dodson RdRogers, AR 72758-5112 · (318) 550-7258
Sole ProprietorNo
Enumeration DateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
NPI 1124690680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AR · PD15834
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.
3500 SE CLUB BLVD, Bentonville, AR 72712

Other Providers at the Same Location NPPES 9

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

Hearing Instrument Specialist
3500 SE CLUB BLVD
BENTONVILLE, AR 72712
Pharmacist
3500 SE CLUB BLVD
BENTONVILLE, AR 72712
Pharmacist
3500 SE CLUB BLVD
BENTONVILLE, AR 72712
Audiologist
3500 SE CLUB BLVD
BENTONVILLE, AR 72712
Optometrist
3500 SE CLUB BLVD
BENTONVILLE, AR 72712
Hearing Instrument Specialist
3500 SE CLUB BLVD
BENTONVILLE, AR 72712
Pharmacy (Community/Retail Pharmacy)
3500 SE CLUB BLVD
BENTONVILLE, AR 72712
Pharmacist
3500 SE CLUB BLVD
BENTONVILLE, AR 72712

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 Stephen Jackson's NPI number?

The NPI number for Stephen Jackson is 1124690680. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Where is Stephen Jackson located?

Stephen Jackson practices at 3500 SE Club Blvd, Bentonville, AR 72712. The listed phone number is (479) 621-0283.

What is Stephen 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 Stephen Jackson was last updated on July 14, 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.