DR. JACOB W HALL (NPI# 1891334447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891334447 |
Entity Type | Individual |
Full Name | DR. JACOB W HALL |
Credential | PHARMD |
Practice Address |
3040 Dolphin Dr Elizabethtown KY 42701-7135 |
Mailing Address |
416 S 6th St Bardstown KY 40004-1132 |
Practice Telephone | 2707374578 |
Mailing Telephone | 5028279994 |
Enumeration Date | 2019-12-30 |
Last Update Date | 2019-12-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | 019523 | KY | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730746504 | Jacob Hall | Student in an Organized Health Care Education/Training Program | Suite 295, Radonc Admin, Nc Cancer Hospital, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-05-28 |
1205350071 | Jacob Allan Hall | Audiologist | 295 Bernardo Ave, Mountain View, CA 94043 | 2017-08-02 |
1194068031 | Jacob Nicholas Hall | Psychiatry & Neurology | 31515 Rancho Pueblo Rd Ste 104, Temecula, CA 92592-4837 | 2013-03-28 |
1851929913 | Jacob Thomas Hall | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-04-01 |
1609402890 | Jacob Hall | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Circle, Dept of Pediatrics, Portsmouth, VA 23708-2111 | 2020-03-19 |
1659834000 | Jacob Richard Hall | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-04-11 |
1942691985 | Jacob Hall | Dermatology | 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 | 2015-02-12 |
1477964294 | Jacob Hall | Chiropractor | 600 S Airport Rd, Longmont, CO 80503-6424 | 2014-05-14 |
Street Address |
3040 DOLPHIN DR |
City | ELIZABETHTOWN |
State | KY |
Zip Code | 42701-7135 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881619567 | Kroger Limited Partnership I | Pharmacy | 3040 Dolphin Dr, Elizabethtown, KY 42701-7135 | 2006-07-13 |
1447859582 | Devin Levi Mccamish | Pharmacist | 3040 Dolphin Dr, Elizabethtown, KY 42701-7135 | 2020-10-20 |
1811521032 | James Michael Lile I | Pharmacist | 3040 Dolphin Dr, Elizabethtown, KY 42701-7135 | 2020-02-26 |
1487144572 | Megan Kathleen Rodgers | Health Educator | 3040 Dolphin Dr, Elizabethtown, KY 42701-7135 | 2018-05-14 |
1487173043 | Amy Franco | Nurse Practitioner | 3040 Dolphin Dr, Elizabethtown, KY 42701-7135 | 2017-09-14 |
1295109874 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 3040 Dolphin Dr, Elizabethtown, KY 42701 | 2015-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
Find all providers in zip 42701 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114563319 | Inspire Rx Pharmacy LLC | Pharmacy | 950 N Mulberry St Ste 100a, Elizabethtown, KY 42701-3629 | 2019-11-22 |
1326409475 | Dixie Pharmacy-2 LLC | Pharmacy | 1311 Ring Rd Ste 107, Elizabethtown, KY 42701-8968 | 2016-03-17 |
1225221112 | Darrenkamps Mt Joy Market Inc | Pharmacy | 191 Ridgeview Rd S, Elizabethtown, PA 17022-9502 | 2007-08-23 |
1871658039 | Dickersons Pharmacy Inc | Pharmacy | 503 Doctors Dr, Elizabethtown, NC 28337 | 2006-12-27 |
1508935453 | Century Pharmacy Inc | Pharmacy | 790 N Dixie Ave Ste 1100, Ste 1100, Elizabethtown, KY 42701-2459 | 2006-11-07 |
1447330675 | Ljb Inc | Pharmacy | 2415 Ring Rd, Elizabethtown, KY 42701 | 2006-10-16 |
1447367628 | Kph Healthcare Services, Inc. | Pharmacy | 7550 Court St, Elizabethtown, NY 12932-0615 | 2006-08-24 |
1881619567 | Kroger Limited Partnership I | Pharmacy | 3040 Dolphin Dr, Elizabethtown, KY 42701-7135 | 2006-07-13 |
1740213073 | Weis Markets Inc | Pharmacy | 1629 S Market St, Elizabethtown, PA 17022-2852 | 2006-07-09 |
1710977442 | Larry J & Bonnie P Russell | Pharmacy | 910 N Dixie Ave Ste 105, Elizabethtown, KY 42701-2519 | 2005-10-25 |
Find all providers in ELIZABETHTOWN |
City | ELIZABETHTOWN |
Zip Code | 42701 |
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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.