MR. JOHN JACOB (NPI# 1760755136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760755136 |
| Entity Type | Individual |
| Full Name | MR. JOHN JACOB |
| Credential | R.PH |
| Practice Address |
12091 Nw 2nd Drive Coral Springs FL 33071 |
| Mailing Address |
12091 Nw 2nd Dr Coral Springs FL 33071-8012 |
| Practice Telephone | 9542550660 |
| Mailing Telephone | 9542550660 |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS38878 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386176691 | John Jacob | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Internal Medicine, Shreveport, LA 71103-4228 | 2017-03-28 |
| 1346690948 | John Jacob | Psychiatry & Neurology | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2016-06-15 |
| 1245616549 | John Jacob | Counselor | 444 Center St, Manchester, CT 06040-3926 | 2015-08-10 |
| 1396009122 | John Jacob | Family Medicine | 3884 Central Sarasota Pkwy, Dept 797, Sarasota, FL 34238-3046 | 2012-06-26 |
| 1801182662 | John Doromal Jacob | Surgery | 3400 Spruce St, Department of Anesthesia Critical Care, Philadelphia, PA 19104-4238 | 2011-06-21 |
| Street Address |
12091 NW 2ND DRIVE |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417222803 | Sonia Joseph | Pharmacist | 12091 Nw 2nd Drive, Coral Springs, FL 33071 | 2012-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033791 | Wendy Beth Heidkamp | Pharmacist | 8231 Nw 6th Court, Coralsprings, FL 33071 | 2020-08-17 |
| 1265041420 | Shashera Pringle | Nurse Practitioner | 10948 Nw 3rd Street, Coral Springs, FL 33071 | 2020-07-23 |
| 1568084580 | Redsky Solutions, Inc. | Non-emergency Medical Transport (VAN) | 695 Nw 100th Ln, Coral Springs, FL 33071 | 2020-05-13 |
| 1578112991 | Dr G's Pharmacy, Inc | Pharmacy | 2224 N. University Drive, Coral Springs, FL 33071 | 2019-09-09 |
| 1366935447 | Nonye Gali | Occupational Therapy Assistant | 9017 Nw 19th St, Coral Springs, FL 33071 | 2018-06-12 |
| 1255855151 | Elisabet Stumper | Speech-Language Pathologist | 1313 Nw 100th Drive, Coral Springs, FL 33071 | 2017-08-01 |
| 1578093175 | Make It Happen Nursing, LLC | Nursing Care | 8835 Nw 3rd Court, Coral Springs, FL 33071 | 2017-06-15 |
| 1023547304 | Steven Quanhien Thach | Physical Therapist | 2043 N University Dr., Coral Springs, FL 33071 | 2017-06-08 |
| 1083063945 | Health Care Clinic At Walgreens | Clinic/Center | 1724 Nw 126th Dr, Coral Springs, FL 33071 | 2016-06-10 |
| 1902285703 | J&j Comprehensive Medical Care LLC | Internal Medicine | 1505 N. University Drive, Suite 400, Coral Springs, FL 33071 | 2015-05-26 |
| Find all providers in zip 33071 | ||||
| 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 |
|---|---|---|---|---|
| 1962026716 | Jean-sylvain Ambroise | Pharmacist | 4134 Nw 88th Ave Apt 205, Coral Springs, FL 33065-1865 | 2020-06-07 |
| 1780218040 | Christine P Morgan | Pharmacist | 11732 Sw 1st St, Coral Springs, FL 33071-8062 | 2020-02-26 |
| 1508400342 | Amanda Whitman | Pharmacist | 3287 Coral Lake Dr, Coral Springs, FL 33065-4661 | 2019-11-05 |
| 1184268062 | Saul Grabosky | Pharmacist | 6001 Coral Ridge Drive, Coral Springs, FL 33076 | 2019-11-04 |
| 1457994592 | Liju George | Pharmacist | 12184 Nw 53rd St, Coral Springs, FL 33076-3632 | 2019-10-22 |
| 1609333236 | Dela Ami Vargas | Pharmacist | 6260 Wiles Rd Apt 202, Coral Springs, FL 33067-4311 | 2019-03-01 |
| 1487148706 | Perfect Balance Healthcare, Pllc | Pharmacist | 7500 Live Oak Dr., Coral Springs, FL 33065 | 2018-06-20 |
| 1801393491 | Shawn Thomas | Pharmacist | 4615 Nw 58th Ave, Coral Springs, FL 33067-2193 | 2018-04-10 |
| 1568977866 | Sarah Watchek | Pharmacist | 3700 Nw 126th Ave, Coral Springs, FL 33065-2408 | 2017-12-08 |
| 1518481829 | Alissa Diaz | Pharmacist | 8360 Nw 51st Ct, Coral Springs, FL 33067 | 2017-07-28 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33071 |
Please comment or provide details below to improve the information on MR. JOHN JACOB.
| 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.