DR. LAURA ASHLYN BROOME JACKSON PHARMD
NPI 1639699465
Pharmacist in Portsmouth, VA

Q: What is Laura Jackson's NPI number?

The NPI number for Laura Jackson is 1639699465. It was assigned to this individual provider in the NPPES registry on June 22, 2017. The provider is also known as Dr. Laura Ashlyn Broome Pharmd.

Q: What is Laura 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 Laura Jackson was last updated on October 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 22, 2017

620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(704) 996-3058 Get Directions Write a Review

NPPES record last updated: October 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Laura Ashlyn Broome Jackson Pharmd NPPES

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

DR. LAURA ASHLYN BROOME JACKSON PHARMD (NPI 1639699465) is an individual pharmacist in Portsmouth, Virginia, licensed in North Carolina (21072) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1639699465

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameDR. LAURA ASHLYN BROOME JACKSONCredential: PHARMD

Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111

Mailing Address209 Bennetts Grove LnSuffolk, VA 23435-3791 · (704) 996-3058

Phone(704) 996-3058

Sole ProprietorNo

Enumeration DateJune 22, 2017

Last NPPES UpdateOctober 12, 2017

✔ NPI 1639699465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

Licenses✔ Licensed in NC · 21072✔ Licensed in CT · 0013225✔ Licensed in TN · 36149

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.

620 JOHN PAUL JONES CIR, Portsmouth, VA 23708

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Laura Ashlyn Broome Pharmd

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.

MEREDITH TVERDOSI CRNA

Nurse Anesthetist, Certified Registered

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-3238

ERIC FRANCIS SULAVA

Emergency Medicine

620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-0669

MRS. TIFFNY KUPER RHH

Dental Hygienist

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-2711

DR. LAKEISHA GOODE PHARMD

Pharmacist

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-7462

JASMINE WOOD MD

Surgery

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-1895

NICHOLAS FANSELOW

General Practice

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-0669

DR. DAVID JESSEN MD

Military Health Care Provider

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-2518

MRS. WILLAR MAE BAUM L.C.S.W.

Social Worker (Clinical)

620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708

Portsmouth City (757) 953-9767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Jackson's NPI number?

The NPI number for Laura Jackson is 1639699465. It was assigned to this individual provider in the NPPES registry on June 22, 2017. The provider is also known as Dr. Laura Ashlyn Broome Pharmd.

Where is Laura Jackson located?

Laura Jackson practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (704) 996-3058.

What is Laura Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Laura Jackson was last updated on October 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.