MATTHEW JACOBS (NPI# 1104107432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104107432 |
| Entity Type | Individual |
| Full Name | MATTHEW JACOBS |
| Credential | RPH |
| Practice Address |
425 Wabasha St N Saint Paul MN 55102-1108 |
| Practice Telephone | 6512246030 |
| Mailing Telephone | 6512246030 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1146620 | MN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PHARMACY LICENSE | 1146620 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427580182 | Matthew Jacobs | Student in an Organized Health Care Education/Training Program | Stony Brook University Dept of Psychiatry, 101 Nichols Rd., Hsc Level 10, Room 020, Stony Brook, NY 11794-8101 | 2017-03-31 |
| 1558804906 | Matthew Jacobs | Social Worker | 3 Isaacs Ln, Egg Harbor Township, NJ 08234-7354 | 2016-12-01 |
| 1962000281 | Matthew Townsend Jacobs | Behavior Technician | 1215 Obrien Dr, Menlo Park, CA 94025-1412 | 2020-10-09 |
| 1275149056 | Matthew Jacobs | Physical Therapist | 609 W Liberty St, Hubbard, OH 44425-1750 | 2020-09-17 |
| 1679187991 | Matthew D Jacobs | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-09-03 |
| 1609345255 | Matthew David Jacobs | Technician/Technologist | 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 | 2018-11-13 |
| 1750872669 | Matthew Thomas Jacobs | Chiropractor | 603 E Ridgeville Blvd, Mount Airy, MD 21771-5249 | 2018-05-25 |
| 1023538196 | Matthew Jacobs | Optometrist | 500 E Alice St, Bainbridge, GA 39819-4998 | 2017-06-21 |
| 1497283659 | Matthew Baloun Jacobs | Anesthesiology | Kumc 3901 Rainbow Blvd Ms 1034, Kansas City, KS 66160-0001 | 2017-05-31 |
| 1053768689 | Matthew Jacobs | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite 1400, Houston, TX 77030-3000 | 2016-05-24 |
| Street Address |
425 WABASHA ST N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477834976 | Richard Allen Hasher | Pharmacist | 425 Wabasha St N, Saint Paul, MN 55102-1108 | 2011-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| 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 |
|---|---|---|---|---|
| 1609486877 | Jonathon Montag | Pharmacist | 122 Wabasha St S, Saint Paul, MN 55107-1896 | 2020-08-03 |
| 1821608217 | Veasna Marcus Chak | Pharmacist | 2197 Old Hudson Rd, Saint Paul, MN 55119-4404 | 2020-07-31 |
| 1780205559 | Sarah Jastram | Pharmacist | 862 Smith Ave S, Saint Paul, MN 55107-3527 | 2020-05-02 |
| 1770118143 | Peter Nguyen | Pharmacist | 2080 Ford Parkway, Saint Paul, MN 55116-5511 | 2020-03-06 |
| 1063875441 | Rahel Kitilla | Pharmacist | 245 Maryland Ave E, Saint Paul, MN 55117-4617 | 2016-04-01 |
| 1548635881 | Morah Ngozi Nwaneri | Pharmacist | 1703 Bohland Ave, Saint Paul, MN 55116-2126 | 2015-12-12 |
| 1043683469 | Valerie Ann Pilgrim | Pharmacist | 2860 Jordan Dr, Saint Paul, MN 55125-2833 | 2015-11-06 |
| 1336523596 | Amy Rahm | Pharmacist | 240 Spring St Unit 515, Saint Paul, MN 55102-4707 | 2015-07-16 |
| 1649659939 | Seth Runkle | Pharmacist | 2080 Ford Pkwy, Saint Paul, MN 55116-1813 | 2015-05-20 |
| 1427452747 | Trish Kanous | Pharmacist | 1085 Dayton Ave, Saint Paul, MN 55104-6504 | 2014-10-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on MATTHEW JACOBS.
| 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.