Jerome D. Jackson
Jerome D. Jackson is a healthcare organization registered as Durable Medical Equipment & Medical Supplies in Fairbanks, AK, holding Type 2 (organization) NPI 1376661934 since 2007. The authorized official on file is Jerome Jackson, Owner Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376661934 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jerome D. Jackson |
| Other name | <Unavail> |
| Practice address | 1867 AIRPORT WAY, SUITE 105, Fairbanks, AK, 99701 |
| Phone | 9074522328 |
| Enumeration date | 2007-03-26 |
| Last updated in NPPES | 2023-09-06 |
Authorized official
| Name | Jerome Jackson |
|---|---|
| Title | Owner Pharmacist |
| Phone | 9074522328 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Primary | 312 | AK |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0200624 | Other | AK | NABP NUMBER |
| MSO268 | Medicaid | AK | — |
| PHO268 | Medicaid | AK | — |
Copy-ready billing details
Provider: Jerome D. Jackson NPI: 1376661934 Taxonomy: 332B00000X (Durable Medical Equipment & Medical Supplies) Address: 1867 AIRPORT WAY, SUITE 105, Fairbanks, AK, 99701
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1043213507 | Janice Stables | Individual | Family Nurse Practitioner | Fairbanks, AK |
| 1134197932 | Janice Onorato | Individual | Neurology Physician | Fairbanks, AK |
| 1447219076 | Cathy Johnson | Individual | Psychiatric/Mental Health Nurse Practitioner | Fairbanks, AK |
| 1548223191 | Nikolas Sarrimanolis | Individual | Internal Medicine Physician | Fairbanks, AK |
| 1285676841 | Mayer Clinic Incorporated | Organization | Surgery Physician | Fairbanks, AK |
| 1326076837 | John Mayer | Individual | Surgery Physician | Fairbanks, AK |
| 1467565531 | Clear Vision Optometry, Inc | Organization | Clinic/Center | Fairbanks, AK |
| 1215019138 | Larry Harikian | Individual | General Practice Physician | Fairbanks, AK |
Verify this record
Cross-check NPI 1376661934 against the authoritative CMS record: view Jerome D. Jackson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Jerome D. Jackson?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-06.