DR. TIBB MARIE JACOBS (NPI# 1235184425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235184425 |
| Entity Type | Individual |
| Full Name | DR. TIBB MARIE JACOBS |
| Credential | PHARM.D. |
| Practice Address |
Lsu Health Sciences Center 1501 Kings Hwy Shreveport LA 71103-4228 |
| Mailing Address |
213 Dogwood South Ln Haughton LA 71037-8507 |
| Practice Telephone | 3186755837 |
| Mailing Telephone | 3189498592 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
17105 | LA | Pharmacy Service Providers |
| Street Address |
LSU HEALTH SCIENCES CENTER 1501 KINGS HWY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1376174797 | Jaime Hulsey | Pharmacist | 8001 Youree Dr, Shreveport, LA 71115-2302 | 2020-02-04 |
| 1992883326 | Mark Middlebrooks | Pharmacist | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487076956 | Angela Daigle | Pharmacist | 335 High View Park Ln, Arnaudville, LA 70512-6447 | 2014-01-17 |
| 1366781247 | Jessica Helmer Brady | Pharmacist | 1800 Bienville Dr, Monroe, LA 71201-3765 | 2013-02-12 |
| 1982967790 | Kerry Fine | Pharmacist | 1512 Jefferson Hwy, Jefferson, LA 70121-2429 | 2012-06-18 |
| 1841573599 | Linda Keys | Pharmacist | 1107 Veterans Blvd, Metairie, LA 70005 | 2011-09-20 |
| 1114176930 | Nicole Theresa Fabre-lacoste | Pharmacist | 977 N Carrollton Ave, New Orleans, LA 70119-3741 | 2008-09-17 |
| 1427207661 | Clyde Norris Dearman | Pharmacist | 130 Desiard St Ste 300, Monroe, LA 71201-7363 | 2008-09-11 |
| 1992990287 | Shannon Denise Bagnet-finley | Pharmacist | 19100 Dr John Lambert Dr, Hammond, LA 70403-0922 | 2007-09-10 |
| 1780891812 | Thrifty Way | Pharmacist | 1019 W Fertitta Blvd, Leesville, LA 71446-4646 | 2007-05-17 |
| 1821203837 | Leopold Goudchaux | Pharmacist | 5504 Navaho Trl, Alexandria, LA 71301-2830 | 2007-05-12 |
| 1134332968 | Johnson Sullivan Fairbanks | Pharmacist | 1527 Mohon St, Alexandria, LA 71301-3431 | 2007-05-08 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on DR. TIBB MARIE 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.