Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenneth Conrad Jackson II, PHARMD, RPH

Individual provider Pharmacotherapy Pharmacist · NPI 1275514994

Dr. Kenneth Conrad Jackson II, PHARMD, RPH is a Pharmacotherapy Pharmacist in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2005.

Licensed in
UT
In the registry since
2005
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

546 Chipeta Way Ste 220
Salt Lake City, UT 84108-1236
Phone: (801) 581-7246
Fax: (801) 581-6243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacotherapy Pharmacist (primary) Taxonomy 1835P1200X · Licence 363584-1701 (UT)

Record details

NPI number1275514994
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD , RPH
Sole proprietorNo
NPI enumeratedNovember 9, 2005
Last updated in NPPESSeptember 11, 2025

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