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

Charles Wayne Jackson Jr., PHARMACIST

Individual provider Pharmacist · NPI 1134739733

Charles Wayne Jackson Jr., PHARMACIST is a Pharmacist in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2020
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Practice location Address checks out

2451 N 90th St
Omaha, NE 68134-6009
Phone: (402) 609-5275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 16860 (NE)

Record details

NPI number1134739733
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedAugust 7, 2020
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020
Mailing address2451 N 90th St, Omaha, NE 68134-6009

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