MRS. CYNTHIA A. JACOBSON (NPI# 1447324611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447324611 |
| Entity Type | Individual |
| Full Name | MRS. CYNTHIA A. JACOBSON |
| Credential | DPH. |
| Practice Address |
110 Burr Ave Pauls Valley OK 73075-3848 |
| Mailing Address |
3201 N Olde Bridge Rd Moore OK 73160-8563 |
| Practice Telephone | 4052387391 |
| Practice Fax Number | 4052381162 |
| Mailing Telephone | 4052387391 |
| Mailing Fax Number | 4052381162 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 08985 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790904712 | Cynthia Diane Jacobson | Physical Therapist | 10262 Knoll Cir, Highlands Ranch, CO 80130-8059 | 2007-04-25 |
| 1164552618 | Cynthia A Jacobson | Nurse Anesthetist, Certified Registered | 351 Rolling Oaks Rd, Suite 101, Thousand Oaks, CA 91361 | 2007-03-06 |
| 1679653216 | Cynthia Deck Jacobson | Counselor | 1512 Scripture St, Denton, TX 76201-3916 | 2006-10-17 |
| 1639738461 | Cynthia L Jacobson | Occupational Therapist | 1000 Van Buren St, Maywood, IL 60153-1970 | 2019-06-05 |
| 1083897680 | Cynthia Jacobson | Registered Nurse | 660 S Fair Oaks Ave, Sunnyvale, CA 94086-7913 | 2007-12-06 |
| Street Address |
110 BURR AVE |
| City | PAULS VALLEY |
| State | OK |
| Zip Code | 73075-3848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023189388 | Jack Lee Justice | Pharmacist | 110 Burr Ave, Pauls Valley, OK 73075-3848 | 2006-11-10 |
| 1801353172 | Sara Justice | Pharmacist | 110 Burr Ave, Pauls Valley, OK 73075-3848 | 2019-02-22 |
| 1619150422 | Christopher James Gold | Pharmacist | 110 Burr Ave, Pauls Valley, OK 73075-3848 | 2007-12-14 |
| 1013074111 | Jack Justice | Durable Medical Equipment & Medical Supplies | 110 Burr Ave, Pauls Valley, OK 73075-3848 | 2007-01-02 |
| 1972674141 | Southern Oklahoma Mental Health and Institutional Pharmacy | Pharmacy | 110 Burr Ave, Pauls Valley, OK 73075-3848 | 2006-11-10 |
| 1629149885 | Carla Ann Boettler | Pharmacist | 110 Burr Ave, Pauls Valley, OK 73075-3848 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292490 | Jennifer Lynn Reicosky | Counselor | 513 Willow, Pauls Valley, OK 73075 | 2018-10-25 |
| 1336467299 | Fred Lee Mcginn Iv | Counselor | Atlc, 111 Arrowhead Dr., Pauls Valley, OK 73075 | 2010-05-17 |
| 1447435433 | Amanda Marie Hammonds | Physical Therapist | 37915 Ecr 1530, Pauls Valley, OK 73075 | 2008-01-08 |
| 1255533873 | Ladonna L.l. Lynnell Luckey | Counselor | 111 Arrowhead Drive, Adolescent Transitional Living Center, Pauls Valley, OK 73075 | 2007-06-05 |
| 1144369026 | James Ray Ward | Dentist | 112 N Oak, Pauls Valley, OK 73075 | 2007-02-06 |
| 1700953247 | Stanley Family Chiropractic PC | Chiropractor | 1555 W Grant, Pauls Valley, OK 73075 | 2006-11-29 |
| 1659458412 | Woodlawn, LLC | Respite Care | 1413 S. Chickasha, Pauls Valley, OK 73075 | 2006-11-01 |
| 1689750457 | Dana J Martin Dds PC | Dentist | 1600 Airline Road, Pauls Valley, OK 73075 | 2006-10-27 |
| 1609963800 | State of Oklahoma Dept. of Human Services | Pharmacy | Rt 1 Box 44a, Pauls Valley, OK 73075 | 2006-10-07 |
| 1295828895 | State of Oklahoma Dept. of Human Services | Intermediate Care Facility, Mentally Retarded | Rt. 1 Box 44-a, Pauls Valley, OK 73075 | 2006-10-02 |
| Find all providers in zip 73075 | ||||
| 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 |
|---|---|---|---|---|
| 1023189388 | Jack Lee Justice | Pharmacist | 110 Burr Ave, Pauls Valley, OK 73075-3848 | 2006-11-10 |
| 1699390799 | Emily Smith | Pharmacist | 111 W Grant Ave, Pauls Valley, OK 73075-3257 | 2020-06-15 |
| 1801353172 | Sara Justice | Pharmacist | 110 Burr Ave, Pauls Valley, OK 73075-3848 | 2019-02-22 |
| 1275861163 | John Michael Teel | Pharmacist | 100 Valley Dr, Pauls Valley, OK 73075-6613 | 2009-12-03 |
| 1619150422 | Christopher James Gold | Pharmacist | 110 Burr Ave, Pauls Valley, OK 73075-3848 | 2007-12-14 |
| 1568515690 | Danny D Frame | Pharmacist | 111 W Grant Ave, Pauls Valley, OK 73075-3257 | 2007-01-20 |
| 1659447324 | Ann Hull | Pharmacist | 100 Valley Dr, Pauls Valley, OK 73075-6613 | 2006-11-27 |
| 1629149885 | Carla Ann Boettler | Pharmacist | 110 Burr Ave, Pauls Valley, OK 73075-3848 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699927 | Machell Lyn Gable | Pharmacist | 951 E Sh 152, Mustang, OK 73064-5119 | 2020-11-04 |
| 1972104099 | James R Hargis | Pharmacist | 1820 Rosedale Dr, Edmond, OK 73013-6638 | 2020-11-04 |
| 1912508003 | Tyler O Mattocks | Pharmacist | 3571 W Rock Creek Rd, Norman, OK 73072-2473 | 2020-11-04 |
| 1760083166 | Kyle A Russell | Pharmacist | 220 S St, Hwy Ok- 97, Sand Springs, OK 74063 | 2020-11-03 |
| 1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
| 1285234864 | April Holmes | Pharmacist | 220 S Highway 97, Sand Springs, OK 74063-6571 | 2020-10-31 |
| 1932709664 | Nouha Hilal | Pharmacist | 8241 S 100th East Pl, Tulsa, OK 74133-4545 | 2020-10-30 |
| 1598365363 | Melissa Anderson | Pharmacist | 1904 Carl Albert Blvd, Ada, OK 74820-3493 | 2020-10-29 |
| 1700486750 | Charles Mcpherrin Russell | Pharmacist | 6301 Nw Quannah Parker Trl, Lawton, OK 73505-1326 | 2020-10-29 |
| 1023618360 | Michelle Lam | Pharmacist | 1500 Sw 59th St # At, Oklahoma City, OK 73119-7214 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
| City | PAULS VALLEY |
| Zip Code | 73075 |
Please comment or provide details below to improve the information on MRS. CYNTHIA A. JACOBSON.
| 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.