Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH CONRAD JACKSON II, PHARM.D., R.PH.
ActiveDR. KENNETH CONRAD JACKSON II, PHARM.D., R.PH. is a Pharmacotherapy Specialist healthcare provider located in SALT LAKE CITY, Utah. NPI 1275514994 is currently active in the NPPES registry. Verify at CMS.
Pharmacotherapy Specialist · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1275514994
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2005 (20.723772872344 yrs)
- Last Updated
- Sep 11, 2025
- License
-
363584-1701 (UT)
Practice Information
- Address
-
546 CHIPETA WAYSUITE 220SALT LAKE CITY, UT, 841081236Browse UT providers · Browse ZIP 84108
- Phone
- 8015817246
- Fax
- 8015816243
- Primary Specialty
-
Pharmacotherapy Specialist
1835P1200X
Other Pharmacotherapy Specialist Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DR. KAREN MARIE GUNNING | PHARM.D. | 1760485288 |
| DR. CARRIE DEKORTE | PHARMD, BCPS | 1497758759 |
| TERRI EVANS | PHARM.D. | 1376547646 |
| DR. LAURA BRITTON | PHARM.D. | 1932105939 |
| DR. RAVINDRA KUMAR PATHAK | PHARMD, PHD, BCPS | 1356347330 |
| MR. LONNIE DOYLE SMITH | PHARMD | 1750388104 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.