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Jackson Brett Allen, PHARMD

NPI 1366032104ActiveIndividual· Pharmacist· Booneville, AR

Pharmacist (PHARMD) in Booneville, Arkansas, licensed in AR, with an NPI issued in January 2021. Part D covered 47 prescriptions written in 2024, 0% of them generic.

Overview

NPI1366032104
StatusActive
Entity typeIndividual
CredentialPHARMD
Sole proprietorYes
NPI issuedJan 26, 2021
Last updated in NPPESJan 26, 2021
Certified by providerJan 26, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XPD15578AR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)47 · 47 30-day fills
Patients45
Total drug cost$10,270
Generic share0% of claims

Medicare sources and data years

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