MILISSA JACKSON D.PH.
NPI 1306115639
Pharmacist in Memphis, TN

Active since December 15, 2011
1863 UNION AVE, MEMPHIS, TN 38104(901) 272-2006 Get Directions Write a Review

NPPES record last updated: December 15, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Milissa Jackson D.ph. NPPES

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

MILISSA JACKSON D.PH. (NPI 1306115639) is an individual pharmacist in Memphis, Tennessee, licensed in Tennessee (0000010138) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1306115639
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMILISSA JACKSONCredential: D.PH.
Location Address1863 UNION AVEMemphis, TN 38104-4028
Mailing Address7830 Greenwich Dr WSouthaven, MS 38672-8407 · (901) 690-8900
Sole ProprietorNo
Enumeration DateDecember 15, 2011
NPI 1306115639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in TN · 0000010138 Licensed in MS · T-09517
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.

1863 UNION AVE, Memphis, TN 38104

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.

Pharmacist
1863 UNION AVE
MEMPHIS, TN 38104
Pharmacist
1863 UNION AVE
MEMPHIS, TN 38104
Pharmacist
1863 UNION AVE
MEMPHIS, TN 38104
Pharmacist
1863 UNION AVE
MEMPHIS, TN 38104
Pharmacist
1863 UNION AVE
MEMPHIS, TN 38104
Pharmacist
1863 UNION AVE
MEMPHIS, TN 38104
Pharmacist
1863 UNION AVE
MEMPHIS, TN 38104
Pharmacy
1863 UNION AVE
MEMPHIS, TN 38104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306115639, enumerated as an "individual" on December 15, 2011.

The provider is located at 1863 UNION AVE MEMPHIS, TN 38104 and the phone number is (901) 272-2006.

Pharmacist with taxonomy code 183500000X.