Kelly Denise Jackson, PHARMD
NPI 1336582360ActiveIndividual· Pharmacist· Fredericksburg, VA
Pharmacist (PHARMD) in Fredericksburg, Virginia, licensed in VA, with an NPI issued in April 2013. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1336582360 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD |
| Sole proprietor | Yes |
| NPI issued | Apr 9, 2013 |
| Last updated in NPPES | Apr 9, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 0202211533 | VA |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Virginia, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Kelly P. Jackson · Nurse/Nurses Aide | 1128b4 | May 20, 2003 | Staunton, VA |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 148 pharmacists in Fredericksburg · All pharmacists in Virginia