TYLYN D'JERA JACKSON PHARMD
NPI 1225584121
Pharmacist in Greenwell Springs, LA

Active since August 30, 2016
17631 VILLA TRACE AVE, GREENWELL SPRINGS, LA 70739(225) 610-3790 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tylyn D'jera Jackson Pharmd NPPES

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

TYLYN D'JERA JACKSON PHARMD (NPI 1225584121) is an individual pharmacist in Greenwell Springs, Louisiana, licensed in Louisiana (PST.021644) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1225584121
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameTYLYN D'JERA JACKSONCredential: PHARMD
Location Address17631 VILLA TRACE AVEGreenwell Springs, LA 70739-4648
Mailing Address17631 Villa Trace AveGreenwell Springs, LA 70739-4648 · (225) 610-3790
Sole ProprietorNo
Enumeration DateAugust 30, 2016
NPI 1225584121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in LA · PST.021644
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.
17631 VILLA TRACE AVE, Greenwell Springs, LA 70739

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 Tylyn Jackson's NPI number?

The NPI number for Tylyn Jackson is 1225584121. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Tylyn Jackson located?

Tylyn Jackson practices at 17631 Villa Trace Ave, Greenwell Springs, LA 70739. The listed phone number is (225) 610-3790.

What is Tylyn 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 Tylyn Jackson was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.