MISS LUCILLE JACKSON
NPI 1568542017
Pharmacist in Jackson, MS

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: July 19, 2026.

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
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

Other Identifiers 1

Other2518794MS · Nabp

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
3502 W NORTHSIDE DR
JACKSON, MS 39213
Obstetrics & Gynecology
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Dentist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Optometrist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Pediatrics)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Pediatrics
3502 W NORTHSIDE DR
JACKSON, MS 39213
Dentist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Dentist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Family Medicine
3502 W NORTHSIDE DR
JACKSON, MS 39213
Family Medicine (Adult Medicine)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Dental Hygienist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Dental Hygienist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Clinic/Center (Dental)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Clinic/Center (Federally Qualified Health Center (FQHC))
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Pharmacy
3502 W NORTHSIDE DR
JACKSON, MS 39213
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Dentist
3502 W NORTHSIDE DR
JACKSON, MS 39213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568542017, enumerated as an "individual" on October 17, 2006.

The provider is located at 3502 W NORTHSIDE DR JACKSON, MS 39213 and the phone number is (601) 362-5321.

Pharmacist with taxonomy code 183500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.