TINA JACOBS (NPI# 1487289930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487289930 |
| Entity Type | Individual |
| Full Name | TINA JACOBS |
| Credential | PHARMD |
| Practice Address |
419 S Coral St Kalkaska MI 49646-2503 |
| Practice Telephone | 2312587500 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302041130 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649703307 | Tina Marie Jacobs | Physician Assistant | 304 Inverness Way S Ste 312, Englewood, CO 80112-5826 | 2017-04-09 |
| 1487654315 | Tina Harris Jacobs | Nurse Practitioner | 610 E Martin Luther King Jr Dr, Maxton, NC 28364-1800 | 2005-07-21 |
| 1457515884 | Tina Lynne Jacobs | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2008-07-15 |
| Street Address |
419 S CORAL ST |
| City | KALKASKA |
| State | MI |
| Zip Code | 49646-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931720 | Jason T Hicks | Physician Assistant | 419 S Coral St, Kalkaska, MI 49646-2503 | 2005-06-13 |
| 1760028419 | Jill Kathleen Murphy | Counselor | 419 S Coral St, Kalkaska, MI 49646-2503 | 2019-11-18 |
| 1053969949 | Hannah Parrish | Speech-Language Pathologist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2019-09-03 |
| 1033674072 | Lindsey Marie Ranstadler | Nurse Practitioner | 419 S Coral St, Kalkaska, MI 49646-2503 | 2019-02-04 |
| 1871094375 | Matthew James Rider | Physical Therapist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2018-02-21 |
| 1386144970 | Kassi Burkam | Physical Therapist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2018-02-20 |
| 1407356942 | Nancy Yvonne Grody | Physical Therapist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2018-02-20 |
| 1790285252 | Lene Oestlyngen Hall | Physical Therapist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2018-02-20 |
| 1013417609 | Holly Jo Swinehart | Occupational Therapist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2018-02-20 |
| 1275033805 | Kassandra Lee Hatfield | Occupational Therapist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2018-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245737915 | Leanne Berry | Physical Therapist | 409 S. Coral, Kalkaska, MI 49646 | 2018-04-10 |
| 1770030488 | Duane Allen | Pharmacist | 784 South Cedar St Ste E, Kalkaska, MI 49646 | 2016-09-10 |
| 1831524040 | Stephanie Marie Murden | Homemaker | 5031 Wagenschutz Rd., Kalkaska, MI 49646 | 2013-09-06 |
| 1508202615 | Dynamic Hearing Care Systems LLC. | Hearing Instrument Specialist | 303 N. Cedar St., Kalkaska, MI 49646 | 2013-05-15 |
| 1063722965 | Robin Lee Nelson | Massage Therapist | 110 W. Fourth St., Kalkaska, MI 49646 | 2010-10-14 |
| 1578886057 | Your Community Above and Beyond Home Health Care | In Home Supportive Care | 303 Cedar Street, Kalkaska, MI 49646 | 2010-03-11 |
| 1891980306 | Kalkaska Memorial Health Center | Clinic/Center | 415 2nd St., Kalkaska, MI 49646 | 2007-09-07 |
| 1114121001 | Kalkaska Chiropractic Center | Chiropractor | 224 S Cedar St, Kalkaska, MI 49646 | 2007-06-13 |
| 1659490860 | Active Brace and Limb | Prosthetic/Orthotic Supplier | 215 S Cedar Street, Kalkaska, MI 49646 | 2007-03-28 |
| 1205849882 | Robert E Molter Jr. | Optometrist | 882 M 72 Nw, Kalkaska, MI 49646 | 2006-08-14 |
| Find all providers in zip 49646 | ||||
| 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 |
|---|---|---|---|---|
| 1841749009 | Lawrence Czubak | Pharmacist | 2101 Us 131, Kalkaska, MI 49646-8821 | 2016-09-29 |
| 1770030488 | Duane Allen | Pharmacist | 784 South Cedar St Ste E, Kalkaska, MI 49646 | 2016-09-10 |
| 1679987275 | Rite Aid Pharmacy | Pharmacist | 902 N Cedar St, Kalkaska, MI 49646-8061 | 2014-06-12 |
| 1801867601 | R.b. Drugs, Inc. | Pharmacist | 770 S Cedar St, Kalkaska, MI 49646-9460 | 2006-01-30 |
| 1144862012 | Nasrin Ronaghi | Pharmacist | 902 N Cedar St, Kalkaska, MI 49646-8061 | 2019-10-12 |
| 1225360175 | Patricia Michutka | Pharmacist | 419 S Coral St, Kalkaska, MI 49646-2503 | 2010-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477710 | Alix Sabbagh | Pharmacist | 154 River Ln, Dearborn, MI 48124-1047 | 2020-11-04 |
| 1659972867 | Bruce Alan Gilmore | Pharmacist | 5940 Augusta Ln, Grand Blanc, MI 48439-9473 | 2020-11-04 |
| 1437750551 | Anamiben R Patel | Pharmacist | 45555 Michigan Ave, Canton, MI 48188-2388 | 2020-11-04 |
| 1871194217 | Rajesh Koduru | Pharmacist | 27496 Pamplona Ln, Novi, MI 48374-4208 | 2020-11-03 |
| 1346841962 | Joy Emery | Pharmacist | 1770 N Alger Road, Alma, MI 48001 | 2020-11-02 |
| 1659972107 | Jane Gruenke | Pharmacist | N10305 Country Club Rd, Ironwood, MI 49938-9627 | 2020-11-02 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1811597602 | Rachel L Martin | Pharmacist | 600 N Center Ave, Gaylord, MI 49735-1506 | 2020-10-29 |
| 1760081467 | Sam Nasser | Pharmacist | 6610 Reuter St, Dearborn, MI 48126-1898 | 2020-10-22 |
| 1427656990 | Tejal Shah | Pharmacist | 1153 Pembroke Dr, Rochester Hills, MI 48307-5756 | 2020-10-15 |
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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.