DR. THOMAS K JACKSON II PHARMD
NPI 1881302115
Pharmacist in Coram, NY

Active since November 07, 2022
1710 ROUTE 112, CORAM, NY 11727(646) 580-1696(631) 476-5365 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas K Jackson Ii Pharmd NPPES

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

DR. THOMAS K JACKSON II PHARMD (NPI 1881302115) is an individual pharmacist in Coram, New York, licensed in New York (068486) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1881302115
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. THOMAS K JACKSON IICredential: PHARMD
Location Address1710 ROUTE 112Coram, NY 11727-2270
Mailing Address1710 Route 112Coram, NY 11727-2270 · (646) 580-1696 · Fax (631) 476-5365
Fax(631) 476-5365
Sole ProprietorNo
Enumeration DateNovember 7, 2022
NPPES CertifiedNovember 5, 2022
NPI 1881302115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 068486
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.
1710 ROUTE 112, Coram, NY 11727

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.

Pharmacy
1710 ROUTE 112
CORAM, NY 11727
Pharmacist
1710 ROUTE 112
CORAM, NY 11727

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 Thomas Jackson's NPI number?

The NPI number for Thomas Jackson is 1881302115. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Where is Thomas Jackson located?

Thomas Jackson practices at 1710 Route 112, Coram, NY 11727. The listed phone number is (646) 580-1696.

What is Thomas 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 Thomas Jackson was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.