Active NPI
Keith David Jacobs, PHARMD
- Pharmacist
- St Marys, OH
National Provider Identifier
1154313617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-2-25168
- Practice address
- 1052 E Spring St
St Marys, OH 45885-2446 - Phone
- (419) 394-3219
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 03-2-25168 | OH | Primary |
Addresses
Primary practice location
1052 E Spring St
St Marys, OH 45885-2446
Mailing address
811 Heather Dr
St Marys, OH 45885-1444
Phone (419) 394-8172
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
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schwieterman'S Drug Store Inc | Past | Accepting new patients | |
| Schwieterman Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Celina, OH
- NPI 1104277714
-
- Community/Retail Pharmacy
- Saint Marys, OH
- NPI 1720008022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154313617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 HEATHER DR",
"city": "ST MARYS",
"state": "OH",
"postal_code": "458851444",
"telephone_number": "419-394-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1052 E SPRING ST",
"city": "ST MARYS",
"state": "OH",
"postal_code": "458852446",
"telephone_number": "419-394-3219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "KEITH",
"middle_name": "DAVID",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-2-25168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Marys, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.