Dr Archibald J Jackson Ii, PHARMD is a
Pharmacist based in Rancho Belago, California. Dr Archibald J Jackson Ii is licensed to practice in Florida (license number 17147) and his current practice location is
26492 Clydesdale Ln, Rancho Belago, California. He can be reached at his office (for appointments etc.) via phone at
(714) 926-2292.
NPI number for Dr Archibald J Jackson Ii is 1003998105 and his current mailing address is 26492 Clydesdale Ln, Rancho Belago, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003998105.
Healthcare Provider's Profile
Full Name | Dr Archibald J Jackson Ii |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 26492 Clydesdale Ln, Rancho Belago, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003998105
- Provider Enumeration Date: 10/19/2006
- Last Update Date: 12/30/2009
Medical Identifiers
Medical identifiers for Dr Archibald J Jackson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003998105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P1200X | Pharmacist - Pharmacotherapy | 17147 (Florida) | Secondary |
1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 17147 (Florida) | Secondary |
183500000X | Pharmacist | 17147 (Florida) | Primary |
1835N1003X | Pharmacist - Nutrition Support | 17147 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Archibald J Jackson Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Archibald J Jackson Ii, PHARMD 26492 Clydesdale Ln, Rancho Belago, CA 92555-3331 Ph: (714) 926-2292 | Dr Archibald J Jackson Ii, PHARMD 26492 Clydesdale Ln, Rancho Belago, CA 92555-3331 Ph: (714) 926-2292 |
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