RANDALL MICHAEL JACKSON PHARMD RPH
NPI 1487748323
Pharmacist in Oakland, CA

Q: What is Randall Jackson's NPI number?

The NPI number for Randall Jackson is 1487748323. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Randall Jackson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Randall Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 03, 2006

3451 E 12TH STREET, OAKLAND, CA 94601(510) 535-3375(510) 535-4169 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Randall Michael Jackson Pharmd Rph NPPES

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

RANDALL MICHAEL JACKSON PHARMD RPH (NPI 1487748323) is an individual pharmacist in Oakland, California, licensed in California (RPH36375) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1487748323

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameRANDALL MICHAEL JACKSONCredential: PHARMD RPH

Location Address3451 E 12TH STREETOakland, CA 94601

Mailing Address1515 Fruitvale AveOakland, CA 94601 · (510) 535-4000 · Fax (510) 535-4128

Phone(510) 535-3375

Fax(510) 535-4169

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487748323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in CA · RPH36375

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.

3451 E 12TH STREET, Oakland, CA 94601

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Other Providers at the Same Location NPPES 15

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

MRS. ERICA ECKROAD MASON CPNP

Nurse Practitioner (Pediatrics)