DR. SHADRIQ JALEEL JACKSON PHARM.D.
NPI 1649158791
Pharmacist in Grand Rapids, MI

Active since August 26, 2025
1997 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 447-1510 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shadriq Jaleel Jackson Pharm.d. NPPES

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

DR. SHADRIQ JALEEL JACKSON PHARM.D. (NPI 1649158791) is an individual pharmacist in Grand Rapids, Michigan, licensed in Michigan (5302417839) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1649158791
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. SHADRIQ JALEEL JACKSONCredential: PHARM.D.
Location Address1997 E BELTLINE AVE NEGrand Rapids, MI 49525-4545
Mailing Address1997 E Beltline Ave NeGrand Rapids, MI 49525-4545 · (616) 447-1510 · Fax (616) 447-1565
Sole ProprietorNo
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
NPI 1649158791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302417839
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.
1997 E BELTLINE AVE NE, Grand Rapids, MI 49525

Other Providers at the Same Location NPPES 10

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

Pharmacist
1997 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Pharmacist
1997 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Pharmacist (Pharmacotherapy)
1997 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Pharmacist
1997 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Pharmacist
1997 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Pharmacist
1997 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Pharmacist (Pharmacotherapy)
1997 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Pharmacy (Community/Retail Pharmacy)
1997 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525

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 Shadriq Jackson's NPI number?

The NPI number for Shadriq Jackson is 1649158791. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Shadriq Jackson located?

Shadriq Jackson practices at 1997 E Beltline Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 447-1510.

What is Shadriq 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 Shadriq Jackson was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.