Individual provider · Type 1 NPI

Shadriq Jaleel Jackson, PharmD

Pharmacist · Grand Rapids, MI

NPI number 1649158791 Active

Practice location

1997 E Beltline Ave NE
Grand Rapids, MI 49525-4545

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	5302417839 (MI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

10 other providers at this address

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About NPI 1649158791

Shadriq Jaleel Jackson, PharmD's National Provider Identifier is 1649158791, issued on Aug 26, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 26, 2025.