Jacob Jensen
Individual provider Active NPI Ambulatory Care Pharmacist · Winnebago, NE
NPI 1083569701 · NPPES record last updated Feb 27, 2026
Key facts
- NPI
- 1083569701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Pharmacist 1835P2201X
- License
- 18680 (NE)
- Practice address
- 225 Bluff St
Winnebago, NE 68071-9703 - Phone
- (402) 243-1542
- NPI assigned
- Feb 27, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18680 | NE | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18680 | NE | |
| Ambulatory Care Pharmacist | 1835P2201X | 18680 | NE | Yes |
Addresses
Primary practice location
225 Bluff St
Winnebago, NE 68071-9703
Mailing address
225 Bluff St
Winnebago, NE 68071-9703
Other providers in Winnebago, NE
- Great Plains Area Regional Drug Dependency Unit
- Great Plains Area Regional Drug Dependency Unit
- Anthony Henry Harden
- Lacey Hinrichsen
- Marcia Lee Hovland
- Kerri Sue Jepsen
- Jillian Angeline Kelsey-Berridge
- Sandra Jo Kruse-Anderson
- Maggie Marie Libra
- Jamison K Linscott
All providers in Winnebago, NE · Ambulatory Care Pharmacist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.