ELIZABETH JACKSON
NPI 1720930084
Pharmacist in Athens, GA

Active since February 10, 2026
2142 W BROAD ST BLDG 200, ATHENS, GA 30606(706) 583-5001 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elizabeth Jackson NPPES

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

ELIZABETH JACKSON (NPI 1720930084) is an individual pharmacist in Athens, Georgia, licensed in Georgia (RPH021390) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1720930084
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameELIZABETH JACKSON
Location Address2142 W BROAD ST BLDG 200Athens, GA 30606-3509
Mailing Address2142 W Broad St Bldg 200Athens, GA 30606-3509 · (706) 583-5001
Sole ProprietorNo
Enumeration DateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
NPI 1720930084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · RPH021390
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.
2142 W BROAD ST BLDG 200, Athens, GA 30606

Other Providers at the Same Location NPPES 2

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

Pediatrics
2142 W BROAD ST BLDG 200, KAISER PERMANENTE ATHENS MEDICAL CENTER
ATHENS, GA 30606
Pharmacy (Managed Care Organization Pharmacy)
2142 W BROAD ST BLDG 200
ATHENS, GA 30606

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 Elizabeth Jackson's NPI number?

The NPI number for Elizabeth Jackson is 1720930084. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Where is Elizabeth Jackson located?

Elizabeth Jackson practices at 2142 W Broad St Bldg 200, Athens, GA 30606. The listed phone number is (706) 583-5001.

What is Elizabeth 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 Elizabeth Jackson was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.