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DR. LACEY J JACKSON PHARMD
NPI 1790098317
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Newport News, VA

Active since July 24, 2010
11815 FOUNTAIN WAY, ONE CITY CENTER SUITE 300, NEWPORT NEWS, VA 23606(757) 926-5366 Get Directions Write a Review

NPPES record last updated: July 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lacey J Jackson Pharmd NPPES

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

DR. LACEY J JACKSON PHARMD (NPI 1790098317) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Newport News, Virginia, licensed in Virginia (0202207469) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1790098317
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. LACEY J JACKSONCredential: PHARMD
Location Address11815 FOUNTAIN WAY, ONE CITY CENTER SUITE 300Newport News, VA 23606-4448
Mailing Address11815 Fountain Way, One City Center Suite 300Newport News, VA 23606-4448 · (757) 926-5366
Phone(757) 926-5366
Sole ProprietorYes
Enumeration DateJuly 24, 2010
✔ NPI 1790098317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in VA · 0202207469
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
11815 FOUNTAIN WAY, Newport News, VA 23606
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Other Providers at the Same Location NPPES 6

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

CYNDAVIA JUDD
Behavior Technician
11815 FOUNTAIN WAY
NEWPORT NEWS, VA 23606
Newport News City (910) 484-1711
DR. STEPHEN OLESKO PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
11815 FOUNTAIN WAY, ONE CITY CENTER, STE 300
NEWPORT NEWS, VA 23606
Newport News City (757) 926-5366
DR. ALLISON GALER, P.A.
Psychologist (Clinical)
11815 FOUNTAIN WAY, SUITE 300
NEWPORT NEWS, VA 23606
Newport News City (954) 600-6345
DR. CHRISTOPHER MARK VANRAAM PHARMD
Pharmacist
11815 FOUNTAIN WAY, ONE CITY CENTER, SUITE 300
NEWPORT NEWS, VA 23606
Newport News City (757) 926-5366
XAVIERA PRIDE
Behavior Technician
11815 FOUNTAIN WAY
NEWPORT NEWS, VA 23606
Newport News City (910) 484-1711
KAYLA NORDEMAN
Behavior Technician
11815 FOUNTAIN WAY
NEWPORT NEWS, VA 23606
Newport News City (910) 484-1711

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 Lacey Jackson's NPI number?

The NPI number for Lacey Jackson is 1790098317. It was assigned to this individual provider in the NPPES registry on July 24, 2010.

Where is Lacey Jackson located?

Lacey Jackson practices at 11815 Fountain Way One City Center Suite 300, Newport News, VA 23606. The listed phone number is (757) 926-5366.

What is Lacey Jackson's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Lacey Jackson was last updated on July 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.