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DR. KENNETH CONRAD JACKSON II PHARM.D., R.PH.
NPI 1275514994
Pharmacist - Pharmacotherapy in Salt Lake City, UT

Active since November 09, 2005
546 CHIPETA WAY, SUITE 220, SALT LAKE CITY, UT 84108(801) 581-7246(801) 581-6243 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Conrad Jackson Ii Pharm.d., R.ph. NPPES

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

DR. KENNETH CONRAD JACKSON II PHARM.D., R.PH. (NPI 1275514994) is an individual pharmacotherapy provider in Salt Lake City, Utah, licensed in Utah (363584-1701) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1275514994
Entity TypeIndividualMale
Primary Taxonomy1835P1200X
Provider Legal NameDR. KENNETH CONRAD JACKSON IICredential: PHARM.D., R.PH.
Location Address546 CHIPETA WAY, SUITE 220Salt Lake City, UT 84108-1236
Mailing Address2731 Hartford StSalt Lake City, UT 84106-3652 · (801) 487-2169 · Fax (801) 581-6243
Phone(801) 581-7246
Fax(801) 581-6243
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1275514994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License✔ Licensed in UT · 363584-1701
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
546 CHIPETA WAY, Salt Lake City, UT 84108
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Other Providers at the Same Location NPPES 2

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

TAMARA A. DANGERFIELD P.T.
Physical Therapist
546 CHIPETA WAY, SUITE # 220
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7246
UNIVERSITY OF UTAH
Pharmacy (Community/Retail Pharmacy)
546 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 585-0544

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 Kenneth Jackson's NPI number?

The NPI number for Kenneth Jackson is 1275514994. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Kenneth Jackson located?

Kenneth Jackson practices at 546 Chipeta Way Suite 220, Salt Lake City, UT 84108. The listed phone number is (801) 581-7246.

What is Kenneth Jackson's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Kenneth Jackson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.