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

Nicholas Dwayne Jackson, PHARMD

Individual provider Pharmacist · NPI 1528670916

Nicholas Dwayne Jackson, PHARMD is a Pharmacist in Coeburn, Virginia. Licensed in Virginia. Registered with an NPI since 2020.

Licensed in
VA
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.

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Practice location Address checks out

201 Laurel Ave
Coeburn, VA 24293
Phone: (276) 807-7106
Fax: (276) 807-7341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0202208432 (VA)

Record details

NPI number1528670916
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 18, 2020
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing addressPo Box 1439, Coeburn, VA 24230-1439

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