IndividualActive
Stephen Jackson
NPI 1124690680 · Pharmacist · Bentonville, AR
Stephen Jackson is a Pharmacist provider in Bentonville, AR (NPI 1124690680).
Provider details
- NPI number
- 1124690680
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PD15834 (AR)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3500 Se Club Blvd
Bentonville, AR 72712-5182
Phone: (479) 621-0283
Street-level locationGet directions
Mailing address
400 S Dodson Rd
Rogers, AR 72758-5112
Registry dates
- Enumerated
- 2021-07-14
- Last updated
- 2021-07-14
- Certified
- 2021-07-14
Frequently asked questions
- What is Stephen Jackson's NPI number?
- Stephen Jackson's National Provider Identifier (NPI) is 1124690680, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Jackson's specialty?
- Stephen Jackson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Stephen Jackson located?
- Stephen Jackson's practice location on file with NPPES is 3500 Se Club Blvd, Bentonville, AR 72712-5182.
- What is Stephen Jackson's phone number?
- The practice phone number listed in the NPPES registry for Stephen Jackson is (479) 621-0283.
- Is Stephen Jackson's NPI active?
- Yes — Stephen Jackson's NPI (1124690680) is active in the NPPES registry as of the last update on 2021-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.