Dr Laura Ashlyn Broome Jackson, PHARMD - Pharmacist in Portsmouth, VA

Dr Laura Ashlyn Broome Jackson, PHARMD is a Pharmacist based in Portsmouth, Virginia. Dr Laura Ashlyn Broome Jackson is licensed to practice in North Carolina (license number 21072) and her current practice location is 620 John Paul Jones Cir, Portsmouth, Virginia. She can be reached at her office (for appointments etc.) via phone at (704) 996-3058.

NPI number for Dr Laura Ashlyn Broome Jackson is 1639699465 and her current mailing address is 209 Bennetts Grove Ln, Suffolk, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639699465.

Contact Information

Dr Laura Ashlyn Broome Jackson, PHARMD
620 John Paul Jones Cir,
Portsmouth, VA 23708-2111
(704) 996-3058
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Laura Ashlyn Broome Jackson
GenderFemale
SpecialityPharmacist
Location620 John Paul Jones Cir, Portsmouth, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639699465
  • Provider Enumeration Date: 06/22/2017
  • Last Update Date: 10/12/2017

Medical Identifiers

Medical identifiers for Dr Laura Ashlyn Broome Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639699465NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 36149 (Tennessee)Secondary
183500000XPharmacist 0013225 (Connecticut)Secondary
183500000XPharmacist 21072 (North Carolina)Primary

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 Laura Ashlyn Broome Jackson 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 AddressPractice Location Address
Dr Laura Ashlyn Broome Jackson, PHARMD
209 Bennetts Grove Ln,
Suffolk, VA 23435-3791

Ph: (704) 996-3058
Dr Laura Ashlyn Broome Jackson, PHARMD
620 John Paul Jones Cir,
Portsmouth, VA 23708-2111

Ph: (704) 996-3058

Reviews and Comments


Pharmacist in Portsmouth, VA

Dr. Lakeisha Goode, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-7462    
Dr. Jesse Michael Daconta, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-5000    
Dr. Laura Modafferi, PHARM D
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-7550    
Dr. Janelle Fontaine White, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-3989    Fax: 757-953-0865
Mr. Michael Phillip Volstorf, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-0258    
Dr. Michael Dean Dail, PHARM.D., BCACP
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-4524    
Siung Woo Kang, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 559-681-4181    

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