BENJAMIN JACOBS (NPI# 1700486339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700486339 |
| Entity Type | Individual |
| Full Name | BENJAMIN JACOBS |
| Credential | PHARMD |
| Practice Address |
268 S 7th St Vinita OK 74301-3737 |
| Mailing Address |
1337 S Winston Ave Tulsa OK 74112-6142 |
| Practice Telephone | 9182566435 |
| Mailing Telephone | 9187666550 |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18483 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518164 | Benjamin Jacobs | Physical Therapist | 6590 Tryon Rd, Cary, NC 27518-7052 | 2019-10-07 |
| 1689137788 | Benjamin Johnson Jacobs | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2019-04-08 |
| 1679045298 | Benjamin Jacobs | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546-5783 | 2018-12-20 |
| 1992066062 | Benjamin Norman Jacobs | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Vascular Surgery, Lebanon, NH 03756-0001 | 2012-06-05 |
| 1578790341 | Benjamin Jacobs | Internal Medicine | 3400 Spruce St, 16 Penn Tower, Philadelphia, PA 19104-4206 | 2009-06-18 |
| 1982846119 | Benjamin Clark Jacobs | Radiology | 1055 N 500 W, Ste 112, Provo, UT 84604-3305 | 2009-04-02 |
| 1467608208 | Benjamin J Jacobs | Orthopaedic Surgery | 200 Ne Mother Joseph Pl Ste 110, Vancouver, WA 98664-3293 | 2008-08-12 |
| 1164688115 | Benjamin Harrison Jacobs | Dentist | 10 Amsterdam Ave, Apt 406, New York, NY 10023-7464 | 2008-07-30 |
| 1235176942 | Benjamin Jacobs | Anesthesiology | 1 Industrial Blvd, Paoli, PA 19301-1601 | 2006-06-01 |
| 1093710584 | Benjamin F. Jacobs IIi | Internal Medicine | 4200 Houma Blvd, Fl 2, Metairie, LA 70006-2970 | 2005-06-20 |
| Street Address |
268 S 7TH ST |
| City | VINITA |
| State | OK |
| Zip Code | 74301-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316964422 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 268 S 7th St, Vinita, OK 74301-3737 | 2006-07-16 |
| 1548860554 | Gregory Taylor Knowles | Pharmacist | 268 S 7th St, Vinita, OK 74301-3737 | 2020-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1720686272 | Chancie Marie Cooper | Case Manager/Care Coordinator | 444 737 Hwy 28, Vinita, OK 74301 | 2020-10-15 |
| 1265082515 | Ruth Irving | Technician | 843 North Miller, Vinita, OK 74301 | 2019-09-18 |
| 1952897449 | Sarah Renee Gilmore | Behavior Technician | 526 N. Brewer, Vinita, OK 74301 | 2018-07-08 |
| 1134664683 | Sheila Mason | Nurse Practitioner | Department of Veterans Affairs Clinic, 269 South 7th Street, Vinita, OK 74301 | 2016-12-19 |
| 1881145274 | Saint Francis Hospital Vinita, Inc | Clinic/Center | 711 North Brewer Street, Vinita, OK 74301 | 2016-10-20 |
| 1699147249 | Beth Powell | Peer Specialist | 405 East Excelsior Ave, Vinita, OK 74301 | 2015-10-22 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1548605041 | Anita Joy Cantrell | Counselor | 1520 North Industrial Ave, Vinita, OK 74301 | 2013-05-10 |
| 1033469606 | Matt Lance Oldacre | Pharmacist | 525 S. Wilson, Vinita, OK 74301 | 2012-09-11 |
| Find all providers in zip 74301 | ||||
| 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 |
|---|---|---|---|---|
| 1033469606 | Matt Lance Oldacre | Pharmacist | 525 S. Wilson, Vinita, OK 74301 | 2012-09-11 |
| 1659621225 | Brittany Renee English | Pharmacist | 725 South Wilson, Vinita, OK 74301 | 2012-09-11 |
| 1407917792 | Kendall Wayne Southern | Pharmacist | 24800 S 4420 Rd, Vinita, OK 74301 | 2006-12-12 |
| 1841286499 | Michael Shawn Sanders | Pharmacist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2005-09-20 |
| 1548253271 | Ben Allison | Pharmacist | 116 S Wilson St, Vinita, OK 74301-3730 | 2005-08-29 |
| 1548860554 | Gregory Taylor Knowles | Pharmacist | 268 S 7th St, Vinita, OK 74301-3737 | 2020-10-28 |
| 1356731400 | Allison Kate Harland | Pharmacist | 27371 S 4410 Rd, Vinita, OK 74301-7953 | 2015-01-28 |
| 1922379841 | Erica Lawayn Wright | Pharmacist | 269 S 7th St, Vinita, OK 74301-3737 | 2012-01-24 |
| 1033495593 | Michelle D Moss | Pharmacist | 24800 S 4420 Rd, Vinita, OK 74301-5544 | 2011-10-28 |
| 1649341710 | Ronnie Logan Davis | Pharmacist | 201 N Scraper St, Vinita, OK 74301-3209 | 2006-11-12 |
| Find all providers in VINITA | ||||
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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.