Active NPI
George Cary Jacobs, RPH
- Pharmacist
- Westland, MI
National Provider Identifier
1023130556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302021045
- Practice address
- 2001 S Merriman Rd
Suite 200
Westland, MI 48186-5539 - Phone
- (734) 727-1040
- Fax
- (734) 727-1037
- NPI assigned
- Apr 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302021045 | MI | Primary |
Addresses
Primary practice location
2001 S Merriman Rd
Suite 200
Westland, MI 48186-5539
Mailing address
38060 Mallory Dr
Livonia, MI 48154-1110
Phone (734) 644-8910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302021045 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakwood Healthcare Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Corewell Health Retail Pharmacy Westland
- Community/Retail Pharmacy
- Westland, MI
- NPI 1033128178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023130556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38060 MALLORY DR",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541110",
"telephone_number": "734-644-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S MERRIMAN RD",
"address_2": "SUITE 200",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481865539",
"telephone_number": "734-727-1040",
"fax_number": "734-727-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "GEORGE",
"middle_name": "CARY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302021045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.