Individual
DR. ETHAN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
850 S 28TH ST, LOUISVILLE, KY 40211-1223
(502) 632-8170
Mailing address
1607 EHRLER DR, LOUISVILLE, KY 40213-1003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020576
KY
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us