DR. AMANDA KRISTEN JACOBS (NPI# 1558619940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558619940 |
| Entity Type | Individual |
| Full Name | DR. AMANDA KRISTEN JACOBS |
| Credential | PHARMD |
| Practice Address |
2707 Celanese Rd Rock Hill SC 29732-9406 |
| Mailing Address |
4128 Hoffmeister Dr Waxhaw NC 28173-7045 |
| Practice Telephone | 8033664157 |
| Mailing Telephone | 7049897751 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 22849 | NC | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 13747 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003261561 | Amanda Jacobs | Licensed Practical Nurse | 1161 Cain Rd, Youngstown, NY 14174-9768 | 2016-05-03 |
| 1760946289 | Amanda Jacobs | Social Worker | 1859 S Topaz Way Ste 100, Meridian, ID 83642-4401 | 2019-01-29 |
| 1407238090 | Amanda Jacobs | Dentist | 411 Willis St, Taylorsville, MS 39168-4550 | 2015-06-19 |
| 1952669467 | Amanda Ann Jacobs | Registered Nurse | 1101 W Liberty St, Farmington, MO 63640-1921 | 2012-05-03 |
| 1164713418 | Amanda Lea Jacobs | Massage Therapist | 3209 E 57th Ave, Spokane, WA 99223-7040 | 2011-04-20 |
| 1740599646 | Amanda J Jacobs | Physician Assistant | 980 S Saint Augustine St, Pulaski, WI 54162-9453 | 2010-09-27 |
| 1427231356 | Amanda Howard Jacobs | Optometrist | 1201 11th Ave S, Suite 501, Birmingham, AL 35205-3410 | 2007-12-13 |
| 1003016411 | Amanda Mcnear Jacobs | Pediatrics | 111 E 210th St, Department of Pediatrics, Bronx, NY 10467-2401 | 2007-07-23 |
| Street Address |
2707 CELANESE RD |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-9406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558355479 | Diane L Harrell | Nurse Practitioner | 2707 Celanese Rd, Rock Hill, SC 29732-9406 | 2005-09-07 |
| 1346852522 | Lindsay Adams | Nurse Practitioner | 2707 Celanese Rd, Rock Hill, SC 29732-9406 | 2020-08-19 |
| 1770192783 | Jessica Stout | Pharmacist | 2707 Celanese Rd, Rock Hill, SC 29732-9406 | 2020-07-26 |
| 1760021059 | Iris Boyd | Nurse Practitioner | 2707 Celanese Rd, Rock Hill, SC 29732-9406 | 2020-01-03 |
| 1114561685 | Caroline Pappas | Nurse Practitioner | 2707 Celanese Rd, Rock Hill, SC 29732-9406 | 2019-10-29 |
| 1245887405 | Amy Bruchon | Pharmacist | 2707 Celanese Rd, Rock Hill, SC 29732-9406 | 2019-08-22 |
| 1578119103 | Jessica Parker | Pharmacist | 2707 Celanese Rd, Rock Hill, SC 29732-9406 | 2019-08-09 |
| 1437627320 | Michael Joseph Geoffrion | Nurse Practitioner | 2707 Celanese Rd, Rock Hill, SC 29732-9406 | 2018-11-08 |
| 1881175487 | Demonica Robinson Dunifer | Nurse Practitioner | 2707 Celanese Rd, Rock Hill, SC 29732 | 2018-08-22 |
| 1588159628 | Gilberto Sanchez Jr. | Nurse Practitioner | 2707 Celanese Rd, Rock Hill, SC 29732-9406 | 2018-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| 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 |
|---|---|---|---|---|
| 1316470420 | Ellen Elizabeth Watts | Pharmacist | 1601 Huntmoor Dr, Rock Hill, SC 29732-9347 | 2017-04-05 |
| 1225429764 | William Lamb IIi | Pharmacist | 2112 James Ct, Rock Hill, SC 29732-1124 | 2015-02-05 |
| 1154711174 | Tai Ling Tu | Pharmacist | 1225 Cherry Rd., Rock Hill, SC 29730 | 2015-01-29 |
| 1881036176 | Joshua Lee Hatcher | Pharmacist | 429 Burnage Way, Apt 306, Rock Hill, SC 29730-7851 | 2013-07-26 |
| 1336498146 | Michele Harvey | Pharmacist | 1735 Heckle Boulevard, Rock Hill, SC 29732 | 2012-09-07 |
| 1225310188 | Parul Amalean | Pharmacist | 2186 Cherry Rd, Rock Hill, SC 29732-3281 | 2011-09-15 |
| 1053691006 | Lora Krishna Crouch | Pharmacist | 1401 Albright Rd, Rock Hill, SC 29730-6576 | 2011-08-23 |
| 1447544523 | Jennifer Pegg Williams | Pharmacist | 2474 Cross Pointe Drive, Rock Hill, SC 29730 | 2011-06-06 |
| 1265738538 | Sallie L Kimbrell | Pharmacist | 2793 Harlinsdale Dr, Rock Hill, SC 29732-1287 | 2011-02-04 |
| 1841593738 | Dena Hughes Gill | Pharmacist | 1705 Ebenezer Rd, Rock Hill, SC 29732-1101 | 2010-12-14 |
| Find all providers in ROCK HILL | ||||
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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.