Active NPIIndividual provider

Mr. Kristian B Jackson, RPH

Pharmacist in Indian Twp, Maine

NPI Number1235388398
Practice location
401 Peter Dana Point RD, Indian Twp, ME 04668-5007
Fax
—
Last updated
April 14, 2022

Kristian B Jackson is a Pharmacist based in Indian Twp, ME. Kristian B Jackson practices in Indian Twp, ME and has the professional credentials of RPH. The NPI Number for Kristian B Jackson is 1235388398 and holds a License No. 40346 (TX). The current practice location address for Kristian B Jackson is 401 Peter Dana Point RD, Indian Twp, ME 04668-5007 and can be reached out via phone at 207-796-2321.

Provider Profile Details

NPI Number
1235388398
Provider Name
Kristian B Jackson
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
401 Peter Dana Point RD, Indian Twp, ME 04668-5007
Phone Number
207-796-2321
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2008
Last Update Date
April 14, 2022
Certification Date
April 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
401 Peter Dana Point RD
Indian Twp, ME 04668-5007
State
Maine
Zip
04668-5007
Phone Number
207-796-2321
Indian Twp, ME 04668Get directions →

Provider Business Mailing Address Details

Address
Po Box 97
Princeton, ME 04668-0097
City
Princeton
State
ME
Zip
04668-0097
Phone Number
207-796-2321

License Information

License Number (1)
40346
License State (1)
TX
Taxonomy (1)
Pharmacist · 183500000X
License Number (2)
PR5291
License State (2)
ME
Taxonomy (2)
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kristian B Jackson, RPH?

The NPI number of Mr. Kristian B Jackson, RPH is 1235388398. It was assigned on September 14, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Kristian B Jackson, RPH?

Mr. Kristian B Jackson, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in TX under license number 40346.

Where does Mr. Kristian B Jackson, RPH practice?

The practice location is 401 Peter Dana Point RD, Indian Twp, ME 04668-5007. The office can be reached at 207-796-2321 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235388398 directly on the NPPES registry website.

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