MISS LUCILLE JACKSON
NPI 1568542017
Pharmacist in Jackson, MS

Q: What is Lucille Jackson's NPI number?

The NPI number for Lucille Jackson is 1568542017. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Lucille 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 Lucille 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 17, 2006

3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321(601) 364-5193 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miss Lucille Jackson NPPES

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

MISS LUCILLE JACKSON (NPI 1568542017) is an individual pharmacist in Jackson, Mississippi, licensed in Mississippi (R07490) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1568542017

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameMISS LUCILLE JACKSON

Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454

Mailing Address3502 W Northside DrJackson, MS 39213-4454 · (601) 362-5321 · Fax (601) 364-5193

Phone(601) 362-5321

Fax(601) 364-5193

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1568542017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in MS · R07490

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.

3502 W NORTHSIDE DR, Jackson, MS 39213

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Other Identifiers 1

Other2518794MS · Nabp

Other Providers at the Same Location NPPES 20

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

MRS. TIFFANI RICCHELE MCKNIGHT

Social Worker (Clinical)