JACKSON KELLY
NPI 1578843009
Pharmacist in Albuquerque, NM

Active since August 29, 2011
2211 LOMAS BLVD NE, ANTICOAGULATION CLINIC, MAIN HOSPITAL SECOND FLOOR, ALBUQUERQUE, NM 87106(505) 272-6202(505) 272-4882 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2023, Mar 22, 2017 (2 updates tracked since 2017).

About Jackson Kelly NPPES

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

JACKSON KELLY (NPI 1578843009) is an individual pharmacist in Albuquerque, New Mexico, licensed in New Mexico (RP00007679) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1578843009
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJACKSON KELLY
Location Address2211 LOMAS BLVD NE, ANTICOAGULATION CLINIC, MAIN HOSPITAL SECOND FLOORAlbuquerque, NM 87106-2719
Mailing Address933 Bradbury Dr Se, Suite 2222Albuquerque, NM 87106-4374 · (505) 272-3120
Fax(505) 272-4882
Sole ProprietorNo
Enumeration DateAugust 29, 2011
Last NPPES UpdateJuly 21, 20232 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
NPI 1578843009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NM · RP00007679
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.

2211 LOMAS BLVD NE, Albuquerque, NM 87106

Accepted Insurance

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.

Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Internal Medicine (Addiction Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Nurse Practitioner (Adult Health)
2211 LOMAS BLVD NE, 2ND FLOOR
ALBUQUERQUE, NM 87106
Family Medicine
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Nurse Practitioner (Occupational Health)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Psychologist (Clinical)
2211 LOMAS BLVD NE, PSY CONSULTATION
ALBUQUERQUE, NM 87106
Internal Medicine
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Otolaryngology
2211 LOMAS BLVD NE, 2ND FLOOR - SURGICAL SPECIALTY CLINICS
ALBUQUERQUE, NM 87106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578843009, enumerated as an "individual" on August 29, 2011.

The provider is located at 2211 LOMAS BLVD NE ANTICOAGULATION CLINIC, MAIN HOSPITAL SECOND FLOOR ALBUQUERQUE, NM 87106 and the phone number is (505) 272-6202.

Pharmacist with taxonomy code 183500000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.