STEPHANIE SUSAN JACOB (NPI# 1972118032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972118032 |
| Entity Type | Individual |
| Full Name | STEPHANIE SUSAN JACOB |
| Credential | PHARMD |
| Practice Address |
2213 Airport Blvd Austin TX 78722-1404 |
| Mailing Address |
7233 Menchaca Rd Unit 2 Austin TX 78745-5292 |
| Practice Telephone | 5129933994 |
| Mailing Telephone | 2147070440 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 61497 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013462571 | Stephanie Jacob | Occupational Therapist | 85 Old Selden Stage Rd, Selden, NY 11784-1506 | 2016-08-24 |
| 1174836282 | Stephanie Jacob | Speech-Language Pathologist | 4045 E Union Hills Dr Ste 110, Phoenix, AZ 85050-3389 | 2010-07-17 |
| 1952431199 | Stephanie Jacob | Optometrist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2007-03-06 |
| Street Address |
2213 AIRPORT BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78722-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760620 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2213 Airport Blvd, Austin, TX 78722-1404 | 2020-02-04 |
| 1114532843 | Daniel Nguyen | Pharmacist | 2213 Airport Blvd, Austin, TX 78722-1404 | 2020-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806855 | Frontage Rsvs Pllc | Dentist | Ste. A1, 3909 N Interstate 35 Frontage Rd, Austin, TX 78722 | 2019-02-08 |
| 1649712035 | Jennifer Mcadams | Psychologist | 4207 Bradwood Rd, Austin, TX 78722 | 2016-11-16 |
| 1417362724 | Adcctx | Alzheimer Center (Dementia Center) | 4605 N 35 Hwy, Austin, TX 78722 | 2014-06-25 |
| 1821376989 | Angela Christine Desantis | Obstetrics & Gynecology | 2909 N I-35 Service Rd, Austin, TX 78722 | 2011-07-23 |
| 1457514556 | Rusty J Roberts | Chiropractor | 3823 Airport Blvd, Ste A4, Austin, TX 78722 | 2008-07-08 |
| 1962618207 | Brian Eugene Labombard | Dentist | 3851 Airport Blvd Ste#105, Austin, TX 78722 | 2007-05-15 |
| 1427193754 | Nicole Chicoine Edwards | Chiropractor | 2005 Airport Blvd, Austin, TX 78722 | 2007-02-21 |
| 1073622528 | Louis Paul Appel | Pediatrics | 2909 North Ih 35, Austin, TX 78722 | 2006-08-29 |
| 1740374347 | Beatriz Canas Smith | Clinical Nurse Specialist | 2909 N Ih 35, Austin, TX 78722 | 2006-10-03 |
| 1659721058 | Yellow Chair Counseling | Social Worker | 4315 Airport Blvd, Suite B, Austin, TX 78722-1005 | 2016-06-16 |
| Find all providers in zip 78722 | ||||
| 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 |
|---|---|---|---|---|
| 1730780230 | Han Nguyen | Pharmacist | 12900 N Interstate 35 Ste 5, Austin, TX 78753-1054 | 2020-11-03 |
| 1164022620 | Casey Nicole Franklin | Pharmacist | 13201 N Fm 620 Rd, Austin, TX 78717-1011 | 2020-10-26 |
| 1811595648 | Lisa Nguyen | Pharmacist | 6908 Colorado Bluffs Rd, Austin, TX 78744-3330 | 2020-10-14 |
| 1184231680 | Caroline Nguyen | Pharmacist | 12900 N Ih 35, Austin, TX 78753-1049 | 2020-09-29 |
| 1063028074 | Deepika Mcconnell | Pharmacist | 2102 Peach Tree St, Austin, TX 78704-2843 | 2020-09-16 |
| 1982218004 | Cassey Gracey | Pharmacist | 3201 Bee Caves Rd Ste 132, Austin, TX 78746-6777 | 2020-09-04 |
| 1518579440 | Cassandra Castillo | Pharmacist | 5908 Daly Dr, Austin, TX 78747-4101 | 2020-08-21 |
| 1194336834 | Shalini Tripathi | Pharmacist | 11506 Heathrow Dr, Austin, TX 78759-4428 | 2020-08-15 |
| 1528682986 | Charlotte C Boyce | Pharmacist | 4150 Freidrich Ln Ste I, Austin, TX 78744-1052 | 2020-06-02 |
| 1295356723 | Victoria Tackett | Pharmacist | 12005 Bee Caves Rd Ste 1a, Austin, TX 78738-6387 | 2020-05-06 |
| Find all providers in AUSTIN | ||||
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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.