IndividualActive
Stacey Jackson, PHARMD
NPI 1457470726 · Pharmacist · Sergeant Bluff, IA
Provider details
- NPI number
- 1457470726
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 19811 (IA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
105 Gaul Dr Ste a
Sergeant Bluff, IA 51054-8963
Phone: (712) 943-1494
Fax: (712) 943-1496
Street-level locationGet directions
Mailing address
310 Expedition Rd
Ponca, NE 68770-7315
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2021-01-13
- Certified
- 2021-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.