MEYONCA JACKSON PHARMD, – NPI #1376146274
Pharmacist

A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.

MEYONCA JACKSON is a pharmacist located in STOCKBRIDGE, GA. NPPES has assigned the NPI number 1376146274 to MEYONCA JACKSON on November 21, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835X0200X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Oncology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEYONCA JACKSON below.

NPI Profile for
MEYONCA JACKSON

NPI Number
1376146274
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MEYONCA JACKSON
Credentials
PHARMD,
Primary location
1045 SOUTHCREST DR
STOCKBRIDGE, GA 30281-6113
Phone: (678) 289-0549 Fax:
Mailing address
509 WYNCROFT WAY
MCDONOUGH, GA 30253-8020
Phone: (404) 993-4068 Fax:
Sole Proprietor
No
Updated
Certification Date
Nov 21, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MEYONCA JACKSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNAGANA
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835X0200X
- Pharmacist / Oncology (Primary)
GA RPH031536

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
Stockbridge
Endpoint type
CONNECT URL
Endpoint Description
PLACE OF BUSINESS
Content Type
CSV
Affiliation
N
Endpoint Location
1045 SOUTHCREST DR,
STOCKBRIDGE, GA 77025-1669