MR. CHRISTOPHER THOMAS JACOB (NPI# 1750878823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750878823 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER THOMAS JACOB |
| Practice Address |
2720 W Jackson St Muncie IN 47303-4635 |
| Mailing Address |
5420 W Keller Rd Apt 5 Muncie IN 47304-8889 |
| Practice Telephone | 7652878533 |
| Mailing Telephone | 4696881993 |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2018-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 67028411A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388674 | Christopher Thomas Jacob | Nurse Anesthetist, Certified Registered | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-10-19 |
| 1336520386 | Christopher Jacob | Optometrist | 502 E Main St, Molalla, OR 97038-9148 | 2015-06-16 |
| Street Address |
2720 W JACKSON ST |
| City | MUNCIE |
| State | IN |
| Zip Code | 47303-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306851449 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2720 W Jackson St, Muncie, IN 47303-4635 | 2006-07-29 |
| 1992316970 | Chinthida Nora Kethdy | Pharmacist | 2720 W Jackson St, Muncie, IN 47303-4635 | 2020-08-12 |
| 1376012641 | Justin Paul Yager | Pharmacist | 2720 W Jackson St, Muncie, IN 47303-4635 | 2018-11-16 |
| 1629454202 | Michelle Riley | Pharmacist | 2720 W Jackson St, Muncie, IN 47303 | 2015-08-05 |
| 1124424403 | Chika Okpalaobieri | Pharmacist | 2720 W Jackson St, Muncie, IN 47303-4635 | 2014-11-13 |
| 1790027159 | Lancelot Keng Villaluz | Pharmacist | 2720 W Jackson St, Muncie, IN 47303-4635 | 2013-03-25 |
| 1497038533 | Sabrina Minh Kachelmyer | Pharmacist | 2720 W Jackson St, Muncie, IN 47303-4635 | 2011-09-26 |
| 1366725806 | Mackenzie Grulke | Pharmacist | 2720 W Jackson St, Muncie, IN 47303-4635 | 2011-09-21 |
| 1841572641 | Carrie Sue Decker | Pharmacist | 2720 W Jackson St, Muncie, IN 47303-4635 | 2011-09-16 |
| 1245512060 | Brian S Ayres | Pharmacist | 2720 W Jackson St, Muncie, IN 47303-4635 | 2011-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790726 | Elisabeth Marriah Bernal | Nurse Practitioner | 2525 W University Ave Suite 300, Muncie, IN 47303 | 2018-11-27 |
| 1013413806 | Charles Austin Curtis | Student in an Organized Health Care Education/Training Program | Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 | 2018-04-02 |
| 1730607359 | Ronald Settles | Home Health | 1812 Carver Dr, Muncie, IN 47303 | 2017-09-04 |
| 1932635034 | Abigail Chilsen | Student in an Organized Health Care Education/Training Program | 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 | 2017-05-10 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1508212044 | Erick Reece Christensen | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 | 2016-05-13 |
| 1700230075 | Mallory Nebergall | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2016-04-22 |
| 1811341282 | Padmini Parameswaran | Student in an Organized Health Care Education/Training Program | 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2016-04-21 |
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1194145185 | Swetha Boddeda | Student in an Organized Health Care Education/Training Program | 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 | 2014-04-17 |
| Find all providers in zip 47303 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155913 | Kristen Nicole Hewawasam | Pharmacy Technician | 221 E Michigan St Apt 301, Indianapolis, IN 46204-1550 | 2020-05-15 |
| 1447872353 | Rebecca Ann Stevers | Pharmacy Technician | 3805 Farmdale Dr, Valparaiso, IN 46383-1850 | 2020-05-13 |
| 1154845048 | Leslie Rita Durbin | Pharmacy Technician | 2750 E 10th St, Hobart, IN 46342-5324 | 2017-08-01 |
| 1376893339 | Sarah Jean Kleitz | Pharmacy Technician | 3016 Wimberg Ave, Evansville, IN 47720-5934 | 2012-09-17 |
| 1043515059 | Adam Jay Lowe | Pharmacy Technician | 1001 W Carmel Dr, Carmel, IN 46032 | 2011-01-21 |
| 1215189394 | Tommy Burns | Pharmacy Technician | 6668 Dunsdin Dr, Plainfield, IN 46168-7542 | 2008-10-21 |
| 1760643977 | Linda Louise Pinson | Pharmacy Technician | 15 W State Road 42, Mooresville, IN 46158-6038 | 2008-06-19 |
| 1780844464 | Diane Lee Michelle Hancock | Pharmacy Technician | 1320 James Ave, Bedford, IN 47421-3592 | 2008-06-16 |
| 1710192802 | Sarah Ellen Anderson | Pharmacy Technician | 2005 W Broadway, Princeton, IN 47670 | 2007-05-11 |
| 1760602296 | Buehlers Buy Low Pharmacy | Pharmacy Technician | 2005 W. Broadway, Princeton, IN 47670 | 2007-04-26 |
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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.