IndividualActive
Igdaliah Jackson, PHARM D
NPI 1700210184 · Pharmacist · Eddystone, PA
Provider details
- NPI number
- 1700210184
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Male
- Sole proprietor
- Yes
- License
- RP438605 (PA)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1207b Chester Pike
Eddystone, PA 19022-1332
Phone: (610) 333-0131
Approximate (ZIP-level) locationGet directions
Mailing address
1207b Chester Pike
Eddystone, PA 19022-1332
Registry dates
- Enumerated
- 2013-08-21
- Last updated
- 2013-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.