Angela Marie Jacobsen, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

12512 Issued in AZ

Practice address

19001 N 27TH Ave
Phoenix, AZ 85027-5036

Phone

(623) 293-4400

Fax

(623) 293-4405

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Angela Marie Nagy-Jacobsen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1114975190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W SOLANO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131643",
            "telephone_number": "219-614-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275036",
            "telephone_number": "623-293-4400",
            "fax_number": "623-293-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "5609934-1701",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26019903A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "12512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "NAGY-JACOBSEN",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Juliette Jacobs
• Kathleen Bourke Jacobs
• Kenny Jacobs
• Sophie Jacobs, PA-C
• Bret Lee Jacobsen Miller, PA-C
• Eric Edwin Jacobsen, DDS
• Jeffrey R Jacobsen, MD
• Jiori Jacobsen, FNP-C
• Khira R Jacobsen
• Kristina Kahle Jacobsen, R.T.(R)

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; 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.