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

Andra Nicole Jackson, PHARMD

Individual provider Pharmacist · NPI 1891662854

Andra Nicole Jackson, PHARMD is a Pharmacist in Lilburn, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

4860 Stone Mountain Hwy
Lilburn, GA 30047-4618
Phone: (770) 972-2846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH035880 (GA)

Record details

NPI number1891662854
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedOctober 22, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address3222 Chadwick Ct, Conyers, GA 30013-6485

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