IndividualActive
Keith Jackson, PHARMD
NPI 1952890030 · Pharmacist · Fort Wayne, IN
Keith Jackson, PHARMD is a Pharmacist provider in Fort Wayne, IN (NPI 1952890030).
Provider details
- NPI number
- 1952890030
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 26019319A (IN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1900 Carew St Ste 4
Fort Wayne, IN 46805-4765
Phone: (260) 373-9775
Street-level locationGet directions
Mailing address
1900 Carew St Ste 4
Fort Wayne, IN 46805-4765
Registry dates
- Enumerated
- 2018-05-04
- Last updated
- 2018-05-04
Frequently asked questions
- What is Keith Jackson's NPI number?
- Keith Jackson's National Provider Identifier (NPI) is 1952890030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Jackson's specialty?
- Keith Jackson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Keith Jackson located?
- Keith Jackson's practice location on file with NPPES is 1900 Carew St Ste 4, Fort Wayne, IN 46805-4765.
- What is Keith Jackson's phone number?
- The practice phone number listed in the NPPES registry for Keith Jackson is (260) 373-9775.
- Is Keith Jackson's NPI active?
- Yes — Keith Jackson's NPI (1952890030) is active in the NPPES registry as of the last update on 2018-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.