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Dr. Heather Jackson , PharmD

Pharmacist β€’ Bemidji, MN

Active NPI 1538782685 Individual Practitioner Female Practitioner
Practice location in NPPES

1611 Anne St Nw
Bemidji, MN 566015114

Call 2183332450 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1611 Anne St Nw

Bemidji, MN 566015114

Telephone 2183332450
Organization at the Same NPPES Address or Phone
Sanford Health Of Northern Minnesota Facility NPI 1154587780

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bemidji and Minnesota

40 active clinicians are listed under Pharmacist with a practice address in Bemidji, MN (4,917 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bemidji

0% of these 40 clinicians have the CMS telehealth indicator.

0% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-27
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES NY 059464

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

26 listed
Tiffany Axtman

Nurse Practitioner

NPI 1699397042
Dr. Bonnie Bailey , MD

Family Medicine

NPI 1831137660

Doctor of Medicine (M.D.)

NPI 1992483648

Doctor of Optometry

NPI 1154468890

Doctor of Optometry

NPI 1659398659

Doctor of Medicine (M.D.)

Ashley Cunderla

Physician Assistant

NPI 1346746815

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 27, 2026

Registered at 1611 ANNE ST NW, BEMIDJI, MN 566015114 (Tel: 2183332450)

πŸ‘€
Provider Name / Credentials Updated April 27, 2026

Recorded as HEATHER JACKSON, PHARMD

βœ…
NPI Profile Active May 23, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 23, 2020

Registered at 7568 N BROADWAY, RED HOOK, NY 125711457 (Tel: 8457589612)

πŸ“
Business Mailing Address (Initial Record) May 23, 2020

Registered at 47 ROCHDALE RD, POUGHKEEPSIE, NY 126031421

πŸ‘€
Provider Name / Credentials (Initial Record) May 23, 2020

Recorded as HEATHER DOLAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2020

Pharmacist (license number reported to NPPES: NY 059464)

🟒
Initial NPI Registration & Enumeration May 23, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1538782685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2020
Last Update: April 27, 2026
Sole Proprietor: No

Other Pharmacists in Bemidji

Healthcare providers in Bemidji

Mailing Address

47 Rochdale Rd

Poughkeepsie, NY 126031421

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.