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ANDRA NICOLE JACKSON PHARMD
NPI 1891662854
Pharmacist in Lilburn, GA

Active since October 22, 2025
4860 STONE MOUNTAIN HWY, LILBURN, GA 30047(770) 972-2846 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andra Nicole Jackson Pharmd NPPES

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

ANDRA NICOLE JACKSON PHARMD (NPI 1891662854) is an individual pharmacist in Lilburn, Georgia, licensed in Georgia (RPH035880) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1891662854
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameANDRA NICOLE JACKSONCredential: PHARMD
Location Address4860 STONE MOUNTAIN HWYLilburn, GA 30047-4618
Mailing Address3222 Chadwick CtConyers, GA 30013-6485 · (470) 426-2023
Phone(770) 972-2846
Sole ProprietorYes
Enumeration DateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1891662854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in GA · RPH035880
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.
4860 STONE MOUNTAIN HWY, Lilburn, GA 30047
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Other Providers at the Same Location NPPES 4

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

JULIET C MOGHALU
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4860 STONE MOUNTAIN HWY
LILBURN, GA 30047
Gwinnett County (770) 972-2846
NADIRAH LEE CHIN DR
Pharmacist
4860 STONE MOUNTAIN HWY
LILBURN, GA 30047
Gwinnett County (770) 972-2846
UYEN HO HERNANDEZ PHARMD
Pharmacist
4860 STONE MOUNTAIN HWY
LILBURN, GA 30047
Gwinnett County (770) 972-2860
GEORGIA CVS PHARMACY LLC
Pharmacy
4860 STONE MOUNTAIN HWY
LILBURN, GA 30047
Gwinnett County (770) 972-2846

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 Andra Jackson's NPI number?

The NPI number for Andra Jackson is 1891662854. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Where is Andra Jackson located?

Andra Jackson practices at 4860 Stone Mountain Hwy, Lilburn, GA 30047. The listed phone number is (770) 972-2846.

What is Andra 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 Andra Jackson was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.