DR. KENNETH ALLEN JACOBS (NPI# 1225252810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225252810 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ALLEN JACOBS |
| Credential | PHARMD |
| Practice Address |
18500 Grand River Ave Detroit MI 48223-2319 |
| Mailing Address |
7517 Danbury Dr West Bloomfield MI 48322-3564 |
| Practice Telephone | 3132725256 |
| Practice Fax Number | 3132729780 |
| Mailing Telephone | 2488950216 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2013-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302024203 | MI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHARMACY LICENSE NUMBER | 5302024203 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730462524 | Kenneth G Jacobs | Social Worker | 6292 Gardner Rd, Altamont, NY 12009-5016 | 2011-09-28 |
| 1699271718 | Kenneth Walter Jacobs Jr. | Behavioral Analyst | 795 Folsom St, San Francisco, CA 94107-1243 | 2018-04-05 |
| 1194258418 | Kenneth Leon Michael Jacobs | Physical Therapist | 132 Salem Ct, Tallahassee, FL 32301-2810 | 2017-04-04 |
| 1417055518 | Kenneth Allan Jacobs | Obstetrics & Gynecology | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2006-09-20 |
| 1538175724 | Kenneth M Jacobs | Internal Medicine | 743 Jefferson Ave, Suite 303, Scranton, PA 18510-1635 | 2006-07-31 |
| 1700839032 | Kenneth Jacobs | Dentist | 8641 Wilshire Blvd, 315, Beverly Hills, CA 90211-2900 | 2006-05-18 |
| 1285698670 | Kenneth Lee Dine Jacobs | Emergency Medicine | 2615 E High St, Springfield, OH 45505-1412 | 2006-04-13 |
| Street Address |
18500 GRAND RIVER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48223-2319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063524924 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 18500 Grand River Ave, Detroit, MI 48223-2319 | 2006-08-31 |
| 1427689942 | Abdelaziz Hussein | Pharmacist | 18500 Grand River Ave, Detroit, MI 48223-2319 | 2020-02-03 |
| 1013548627 | Anthonia Chinyere Chinemelu | Pharmacist | 18500 Grand River Ave, Detroit, MI 48223-2319 | 2020-02-01 |
| 1821629411 | Hamza Darwiche | Pharmacist | 18500 Grand River Ave, Detroit, MI 48223-2319 | 2020-01-31 |
| 1932730637 | Coty Lynn Alexander | Pharmacist | 18500 Grand River Ave, Detroit, MI 48223-2319 | 2020-01-31 |
| 1588295562 | Rajiv Narhari Thaker | Pharmacist | 18500 Grand River Ave, Detroit, MI 48223-2319 | 2020-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946659 | From Heavens Joy Assisted Care Support Services LLC | Social Worker | 14179 Evergreen Rd, Detroit, MI 48223 | 2018-03-21 |
| 1164921144 | Kyara Mccraney | Licensed Practical Nurse | 12725 Riverview St, Detroit, MI 48223 | 2018-02-06 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1629590609 | Marie Davis | Nursing Care | 14049 Minock St, Detroit, MI 48223 | 2017-07-12 |
| 1740726488 | Tanisha Smith | Behavior Technician | 14620 Faust Ave, Detroit, MI 48223 | 2017-01-18 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1831596832 | Walter Ector | Counselor | 14243 Minock, Detroit, MI 48223 | 2014-11-20 |
| 1336568542 | Sheryl A Ali | Registered Nurse | 12811 Hazelton Street, Detroit, MI 48223 | 2014-04-15 |
| 1255667556 | Abyssinia Love Knot Physical Therapy LLC | Physical Medicine & Rehabilitation | 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 | 2009-10-22 |
| 1629243902 | Glenda Faye Smith | Massage Therapist | 15041 Faust, Detroit, MI 48223 | 2008-04-28 |
| Find all providers in zip 48223 | ||||
| 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 |
|---|---|---|---|---|
| 1366073926 | Peter Shaouni | Pharmacist | 15521 W 7 Mile Rd, Detroit, MI 48235-2927 | 2020-01-31 |
| 1598396285 | Mehak Siddiqui | Pharmacist | 200 Renaissance Ctr, Detroit, MI 48243-1300 | 2020-01-31 |
| 1073143384 | Marco Santos | Pharmacist | 6862 Michigan Ave, Detroit, MI 48210-2868 | 2020-01-26 |
| 1841774528 | Belief Aghoghome Emadamerho | Pharmacist | 13641 East 7 Mile Rd, Detroit, MI 48205 | 2018-09-19 |
| 1376025262 | Maeghan Hensler | Pharmacist | 7800 Outer Dr., Detroit, MI 48235 | 2018-09-06 |
| 1417445719 | Wagdi Abdulla | Pharmacist | 14424 Schaefer Hwy, Detroit, MI 48227-3668 | 2018-04-23 |
| 1528579331 | Mahmoud Srour | Pharmacist | 4100 Woodward Ave Ste Pharmacy, Detroit, MI 48201-2173 | 2017-10-19 |
| 1477073039 | Emalee M Osentoski | Pharmacist | 4100 John R St Ste Hp00sp, Detroit, MI 48201-2013 | 2017-06-26 |
| 1144755588 | Eric Foster | Pharmacist | 11574 Roxbury St, Detroit, MI 48224-1141 | 2017-04-24 |
| 1013440460 | Maqsood Ahmad | Pharmacist | 12170 Conant St Ste E, Detroit, MI 48212-4129 | 2017-04-04 |
| Find all providers in DETROIT | ||||
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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.