Jean K. Jacob, PHARM.D.

Pharmacist · Bridgeport, CT

Individual Active NPI

NPI number 1417280652

Practice location

2117 Boston Ave
Bridgeport, CT 06610-3030
Phone
(203) 493-4251

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NPI record

NPI
1417280652
Entity type
Individual (Type 1)
Enumeration date
September 4, 2009
Last updated
December 26, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PCT0009700 CT
Pharmacist 183500000X 28RI02804900 NJ
Pharmacist 183500000X 051292532 IL

About Dr. Jacob

Jean K. Jacob, PHARM.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2117 Boston Ave, Bridgeport, CT 06610-3030. The NPI number 1417280652 was assigned on September 4, 2009 and the record was last updated on December 26, 2015.

Dr. Jacob lists 3 licenses in the registry: #PCT0009700 (CT) for Pharmacist; #28RI02804900 (NJ) for Pharmacist; #051292532 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jean K. Jacob, PHARM.D.?

The NPI number is 1417280652.

What is the phone number of Dr. Jacob?

The phone number listed for the practice location is (203) 493-4251.

Where is Dr. Jacob located?

2117 Boston Ave, Bridgeport, CT 06610-3030.

What is the taxonomy code for Dr. Jacob?

The primary taxonomy code is 183500000X – Pharmacist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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