MARY LYNNE JACKSON RPH
NPI 1932747680
Pharmacist in Saint Clair, MO

Active since December 12, 2019
855 N COMMERCIAL AVE, SAINT CLAIR, MO 63077(636) 629-0710 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Lynne Jackson Rph NPPES

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

MARY LYNNE JACKSON RPH (NPI 1932747680) is an individual pharmacist in Saint Clair, Missouri, licensed in Illinois (40140) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1932747680
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMARY LYNNE JACKSONCredential: RPH
Location Address855 N COMMERCIAL AVESaint Clair, MO 63077-1118
Mailing Address855 N Commercial AveSaint Clair, MO 63077-1118 · (636) 629-0710
Sole ProprietorYes
Enumeration DateDecember 12, 2019
NPI 1932747680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 40140
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.
855 N COMMERCIAL AVE, Saint Clair, MO 63077

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.

Pharmacist
855 N COMMERCIAL AVE
SAINT CLAIR, MO 63077
Pharmacy (Community/Retail Pharmacy)
855 N COMMERCIAL AVE
SAINT CLAIR, MO 63077

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 Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1932747680. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Mary Jackson located?

Mary Jackson practices at 855 N Commercial Ave, Saint Clair, MO 63077. The listed phone number is (636) 629-0710.

What is Mary 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 Mary Jackson was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.