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

Dr. Keith Wesley Jackson, PHARMD

Individual provider Pharmacist · NPI 1952890030

Dr. Keith Wesley Jackson, PHARMD is a Pharmacist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2018.

Licensed in
IN
In the registry since
2018
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

1900 Carew St Ste 4
Fort Wayne, IN 46805-4765
Phone: (260) 373-9775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 26019319A (IN)

Record details

NPI number1952890030
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMay 4, 2018
Last updated in NPPESMay 4, 2018
Mailing address1900 Carew St Ste 4, Fort Wayne, IN 46805-4765

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