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

Dr. Peter Allen Jackson, PHARMD

Individual provider Pharmacist · NPI 1790319234

Dr. Peter Allen Jackson, PHARMD is a Pharmacist in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
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

116 N Military Ave
Green Bay, WI 54303-3202
Phone: (920) 498-3247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 18622-040 (WI)

Record details

NPI number1790319234
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedFebruary 24, 2020
Last updated in NPPESFebruary 24, 2020
Certification dateFebruary 24, 2020
Mailing address116 N Military Ave, Green Bay, WI 54303-3202

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