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

Jackson Hetzler, PHARMD

Individual provider Pharmacist · NPI 1336813427

Jackson Hetzler, PHARMD is a Pharmacist in Johnson City, Tennessee. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021
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 Partly verified

Some contact details are missing from the federal record.

Lamont Street & Veterans Way
Johnson City, TN 37604-3760
Phone: (423) 926-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 30490 (NC)

Record details

NPI number1336813427
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 3, 2021
Last updated in NPPESAugust 3, 2021
Certification dateJuly 8, 2021
Mailing address258 Mockingbird Lane, Apartment #448, Johnson City, TN 37604

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