Jacob Steven Dasilva

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PI168146 Issued in MA

Practice address

1207 Acushnet Ave
New Bedford, MA 02746-2018

Phone

(508) 984-5402

NPI assigned

Nov 20, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maxi Drug Inc

  • Community/Retail Pharmacy
  • New Bedford, MA
  • NPI 1740389022
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1114792272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CLARA ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027442248",
            "telephone_number": "774-992-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 ACUSHNET AVE",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027462018",
            "telephone_number": "508-984-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "JACOB",
        "middle_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MA",
            "license": "PI168146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan M Damico
• Daniel Hooberman, MD, LLC
• Dartmouth Primary Medicine, LLC
• Betty Ann Dasher
• Katrina L Dasilva-Los, COTA
• Kayla Dasilva
• Nicole Dasilva, LICSW
• Jenna Daum, M.ED.
• Claudia Davenport
• Ruth A David, PA

• Pharmacy Technician in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Pharmacy Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.