ALYSSA SIMONE JACKSON - NPI 1295506186 - Pharmacy Technician in Ferguson, MO

Q: What is Alyssa Jackson's NPI number?

The NPI number for Alyssa Jackson is 1295506186. It was assigned to this individual provider in the NPPES registry on January 10, 2024.

Q: What is Alyssa Jackson's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Jackson was last updated on January 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Alyssa Simone Jackson NPPES

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

ALYSSA SIMONE JACKSON (NPI 1295506186) is an individual pharmacy technician in Ferguson, Missouri, licensed in Missouri (2021004266) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1295506186

Entity TypeIndividualFemale

Primary Taxonomy183700000X

Provider Legal NameALYSSA SIMONE JACKSON

Location Address190 N FLORISSANT RDFerguson, MO 63135-1942

Mailing Address190 N Florissant RdFerguson, MO 63135-1942 · (314) 521-4518

Phone(314) 521-4518

Sole ProprietorNo

Enumeration DateJanuary 10, 2024

NPPES CertifiedJanuary 10, 2024

✔ NPI 1295506186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy TechnicianPharmacy Service Providers

Taxonomy Code183700000X

License✔ Licensed in MO · 2021004266

Definition

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

190 N FLORISSANT RD, Ferguson, MO 63135

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