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

Dr. Brian Jackson

Individual provider Pharmacist · NPI 1770188781

Dr. Brian Jackson is a Pharmacist in Kingsport, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

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

5215 Memorial Blvd Ste 20
Kingsport, TN 37664-4476
Phone: (423) 279-7430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 36659 (TN)

Record details

NPI number1770188781
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 30, 2020
Last updated in NPPESNovember 30, 2020
Certification dateNovember 30, 2020

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