Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Simone Jackson

Individual provider Pharmacy Technician · NPI 1295506186

Alyssa Simone Jackson is a Pharmacy Technician in Ferguson, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024

Practice location Address checks out

190 N Florissant Rd
Ferguson, MO 63135-1942
Phone: (314) 521-4518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence 2021004266 (MO)

Record details

NPI number1295506186
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2024
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024
Mailing address190 N Florissant Rd, Ferguson, MO 63135-1942

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