IndividualActive
Dewell Jackson
NPI 1700135977 · Pharmacist · Hattiesburg, MS
Dewell Jackson is a Pharmacist provider in Hattiesburg, MS (NPI 1700135977).
Provider details
- NPI number
- 1700135977
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- P012606 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
5093 Hardy St
Hattiesburg, MS 39401
Phone: (601) 579-7465
Street-level locationGet directions
Mailing address
5093 Hardy St
Hattiesburg, MS 39401
Registry dates
- Enumerated
- 2012-09-04
- Last updated
- 2012-09-04
Frequently asked questions
- What is Dewell Jackson's NPI number?
- Dewell Jackson's National Provider Identifier (NPI) is 1700135977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dewell Jackson's specialty?
- Dewell Jackson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Dewell Jackson located?
- Dewell Jackson's practice location on file with NPPES is 5093 Hardy St, Hattiesburg, MS 39401.
- What is Dewell Jackson's phone number?
- The practice phone number listed in the NPPES registry for Dewell Jackson is (601) 579-7465.
- Is Dewell Jackson's NPI active?
- Yes — Dewell Jackson's NPI (1700135977) is active in the NPPES registry as of the last update on 2012-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.