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

Jackson Kelly

Individual provider Pharmacist · NPI 1578843009

Jackson Kelly is a Pharmacist in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2011.

Licensed in
NM
In the registry since
2011

Practice location Address checks out

2211 Lomas Blvd NE Anticoagulation Clinic Main Hospital Second Fl
Albuquerque, NM 87106-2719
Phone: (505) 272-6202
Fax: (505) 272-4882
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP00007679 (NM)

Record details

NPI number1578843009
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2011
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023
Mailing address933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374

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