What is Shadriq Jackson's NPI number?

Shadriq Jackson's National Provider Identifier (NPI) is 1649158791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shadriq Jackson's specialty?

Shadriq Jackson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Shadriq Jackson located?

Shadriq Jackson's practice location on file with NPPES is 1997 E Beltline Ave Ne, Grand Rapids, MI 49525-4545.

What is Shadriq Jackson's phone number?

The practice phone number listed in the NPPES registry for Shadriq Jackson is (616) 447-1510.

Is Shadriq Jackson's NPI active?

Yes — Shadriq Jackson's NPI (1649158791) is active in the NPPES registry as of the last update on 2025-08-26.

IndividualActive

Shadriq Jackson, PHARM.D.

NPI 1649158791 · Pharmacist · Grand Rapids, MI

Shadriq Jackson, PHARM.D. is a Pharmacist provider in Grand Rapids, MI (NPI 1649158791).

Provider details

NPI number: 1649158791
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARM.D.
Sex: Male
Sole proprietor: No
License: 5302417839 (MI)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 5302417839 (MI)
Pharmacy Service Providers

Profile Score

Established profile(54/100 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

1997 E Beltline Ave Ne

Grand Rapids, MI 49525-4545

Phone: (616) 447-1510

Street-level locationGet directions

More MI providers

Mailing address