Jasmine V Jacob, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0014208 Issued in CT

Practice address

969 High Ridge Rd
Stamford, CT 06905-1608

Phone

(203) 322-1520

NPI assigned

Jan 29, 2018

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

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.

• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Stamford, CT
  • NPI 1174923106
  NPD (past)
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Guilford, CT
  • NPI 1417746108
  NPD (past)
• GPG LLC

  • Community/Retail Pharmacy
  • New Canaan, CT
  • NPI 1063894871
  NPD (past)
• Greenwich Pharmacy LLC

  • Pharmacy
  • Greenwich, CT
  • NPI 1679887772
  NPD (past)

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1124526751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 HIGH RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051608",
            "telephone_number": "203-322-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 HIGH RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051608",
            "telephone_number": "203-322-1520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Main St",
            "address_purpose": "LOCATION",
            "city": "New Canaan",
            "state": "CT",
            "postal_code": "068404709",
            "country_code": "US",
            "telephone_number": "203-801-0808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Greenwich Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068305504",
            "country_code": "US",
            "telephone_number": "203-661-2721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Main St",
            "address_purpose": "LOCATION",
            "city": "New Canaan",
            "state": "CT",
            "postal_code": "068404709",
            "country_code": "US",
            "telephone_number": "203-801-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "JASMINE",
        "middle_name": "V",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0014208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seema Iyer
• Jack V. Diteodoro M.D,LLC
• Christopher Michael Jackson, PCC
• Lenora Jackson, NP
• Terence Stewart Jackson, DMD MA
• Michael A Jacobson, M.D.
• Ruthann Jaffe Birnbaum, LCSW
• Merrill B Jaffe, M.D.
• Sanjida Jahan
• Julie Jahoda, OTR/L

• Pharmacist in Stamford, CT
• Providers in Stamford, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.