JASMINE V JACOB (NPI# 1124526751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124526751 |
| Entity Type | Individual |
| Full Name | JASMINE V JACOB |
| Credential | PHARMD |
| Practice Address |
969 High Ridge Rd Stamford CT 06905-1608 |
| Practice Telephone | 2033221520 |
| Mailing Telephone | 2033221520 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PCT.0014208 | CT | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 116 Greenwich Ave, Greenwich, CT 068305504 | 2036612721 | |
| 118 Main St, New Canaan, CT 068404709 | 2038010808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255871604 | Jasmine Jacob | Nurse Practitioner | 3006 S Maryland Pkwy Ste 320, Las Vegas, NV 89109-2225 | 2017-03-05 |
| 1104313980 | Jasmine Jacob | Nurse Practitioner | 6313 Preston Rd Ste 400, Plano, TX 75024-2716 | 2018-04-17 |
| 1235499419 | Jasmine Rose Jacob | Internal Medicine | 620 10th St N, St Petersburg, FL 33705-1407 | 2012-05-22 |
| Street Address |
969 HIGH RIDGE RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174923106 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 969 High Ridge Rd, Stamford, CT 06905-1608 | 2014-08-27 |
| 1952812166 | Samantha Chu | Pharmacist | 969 High Ridge Rd, Stamford, CT 06905-1608 | 2017-10-14 |
| 1326497678 | Christine X Zhu | Pharmacist | 969 High Ridge Rd, Stamford, CT 06905-1608 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| 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 |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1588224885 | Sheikh M Zakaria | Pharmacist | 922 Washington Boulevard, Stamford, CT 06901 | 2019-06-18 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1285113712 | Jeff Cineas | Pharmacist | 300 Tresser Blvd Apt 8n, Stamford, CT 06901-3256 | 2018-08-06 |
| 1083163687 | Paul Andrew Fiscella | Pharmacist | 17 W Hill Ln, Stamford, CT 06902-1411 | 2016-09-25 |
| 1811443559 | Sandra Grbic | Pharmacist | 1058 Hope Street, Stamford, CT 06907-2110 | 2016-09-01 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1437532975 | Julie Costello | Pharmacist | 134 Prudence Dr, Stamford, CT 06907-1219 | 2015-07-01 |
| 1780091561 | Ranjeeta Mhatre | Pharmacist | 584 Hope St, 10, Stamford, CT 06907-2714 | 2014-07-14 |
| 1295140358 | Marie Ayoub | Pharmacist | 563 Hope St, Stamford, CT 06907-2709 | 2014-06-27 |
| Find all providers in STAMFORD | ||||
Please comment or provide details below to improve the information on JASMINE V JACOB.
| 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.