Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shanda R. Jackson

Individual provider Pharmacist · NPI 1083767248

Shanda R. Jackson is a Pharmacist in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2007

Practice location Address checks out

2312 Woodford Way
Edmond, OK 73034-6444
Phone: (405) 340-1611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 10876 (OK)

Record details

NPI number1083767248
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 19, 2007
Last updated in NPPESJuly 8, 2007

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