DR. KEITH WESLEY JACKSON PHARMD
NPI 1952890030
Pharmacist in Fort Wayne, IN

Active since May 04, 2018
1900 CAREW ST STE 4, FORT WAYNE, IN 46805(260) 373-9775 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith Wesley Jackson Pharmd NPPES

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

DR. KEITH WESLEY JACKSON PHARMD (NPI 1952890030) is an individual pharmacist in Fort Wayne, Indiana, licensed in Indiana (26019319A) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1952890030
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. KEITH WESLEY JACKSONCredential: PHARMD
Location Address1900 CAREW ST STE 4Fort Wayne, IN 46805-4765
Mailing Address1900 Carew St Ste 4Fort Wayne, IN 46805-4765 · (260) 373-9775
Sole ProprietorNo
Enumeration DateMay 4, 2018
NPI 1952890030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IN · 26019319A
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.
1900 CAREW ST STE 4, Fort Wayne, IN 46805

Other Providers at the Same Location NPPES 3

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

Pharmacist
1900 CAREW ST STE 4
FORT WAYNE, IN 46805
Pharmacist
1900 CAREW ST STE 4
FORT WAYNE, IN 46805
Pharmacist
1900 CAREW ST STE 4
FORT WAYNE, IN 46805

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 Keith Jackson's NPI number?

The NPI number for Keith Jackson is 1952890030. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Where is Keith Jackson located?

Keith Jackson practices at 1900 Carew St Ste 4, Fort Wayne, IN 46805. The listed phone number is (260) 373-9775.

What is Keith 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 Keith Jackson was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.