DR. BRANDON JACOBI (NPI# 1023593662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023593662 |
| Entity Type | Individual |
| Full Name | DR. BRANDON JACOBI |
| Credential | PHARMD |
| Practice Address |
1705 S Main St Roswell NM 88203-1873 |
| Mailing Address |
1600 N Sycamore Ave Apt 305 Roswell NM 88201-8895 |
| Practice Telephone | 5753239001 |
| Mailing Telephone | 4024154693 |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2018-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP00008992 | NM | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437611365 | Brandon Jacobi | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2019-04-01 |
| Street Address |
1705 S MAIN ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073922779 | Tyler Cowart | Pharmacist | 1705 S Main St, Roswell, NM 88203-1873 | 2014-08-06 |
| 1598010449 | David Ellis Martin | Pharmacist | 1705 S Main St, Roswell, NM 88203-1873 | 2012-07-17 |
| 1447281589 | K Mart Corp | Pharmacy | 1705 S Main St, Roswell, NM 88203-1873 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| Find all providers in zip 88203 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932738697 | Laurie D Renshaw | Pharmacist | 410 Hamilton Park Dr, Roswell, GA 30075-5581 | 2020-04-05 |
| 1538728803 | Alan Ryan | Pharmacist | 570 Trotters Rdg, Roswell, GA 30075-2882 | 2019-06-11 |
| 1821560780 | Kyle Scherich | Pharmacist | 4500 N Main St Ste A, Roswell, NM 88201-0305 | 2018-12-17 |
| 1518487206 | Cherini Ghobrial | Pharmacist | 11910 Stradford Wood, Roswell, GA 30076-1191 | 2017-06-22 |
| 1265838262 | James C. Shumans | Pharmacist | 495 Spring Ridge Dr, Roswell, GA 30076-2680 | 2014-11-18 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1821335878 | Christopher Chu | Pharmacist | 1425 Market Blvd, Roswell, GA 30076-6708 | 2013-01-10 |
| 1972876233 | Devyani Kambaliya | Pharmacist | 975 Riceland Ct, Roswell, GA 30075-7805 | 2012-02-17 |
| 1316224959 | Karen J Cook | Pharmacist | 4321 Lake Chimney Ct Ne, Roswell, GA 30075-3138 | 2011-11-10 |
| 1184909400 | Mervat Nabil Halim | Pharmacist | 10790 Alpharetta Hwy, Roswell, GA 30076-1425 | 2011-10-18 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.