IndividualActive
De Lorenco Jackson
NPI 1558207845 · Infectious Diseases Pharmacist · Kalamazoo, MI
Provider details
- NPI number
- 1558207845
- Entity type
- Individual
- Primary specialty
- Infectious Diseases PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5306008385 (MI)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
8089 Stadium Dr Ste B
Kalamazoo, MI 49009-6270
Phone: (616) 681-3828
Fax: (269) 869-5905
Street-level locationGet directions
Mailing address
8089 Stadium Dr Ste B
Kalamazoo, MI 49009-6270
Registry dates
- Enumerated
- 2026-04-28
- Last updated
- 2026-04-28
- Certified
- 2026-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.