Active NPI
James Edward Jacobs, PHARMD
- Pharmacist
- Ashland City, TN
National Provider Identifier
1174708945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000029509
- Practice address
- 605 N Main St Ste a
Ashland City, TN 37015-1320 - Phone
- (901) 857-5269
- NPI assigned
- Dec 29, 2007
- Last updated
- Apr 17, 2022
- 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 | 0000029509 | TN | Primary |
Addresses
Primary practice location
605 N Main St Ste a
Ashland City, TN 37015-1320
Mailing address
605 N Main St Ste a
Ashland City, TN 37015-1320
Phone (901) 857-5269
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000029509 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland City Pharmacy LLC | Current | Accepting new patients |
Locations
605 N Main St
Ste A
Ashland City, TN 37015
Phone (615) 246-1422
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650153600000",
"number": "1174708945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 N MAIN ST STE A",
"city": "ASHLAND CITY",
"state": "TN",
"postal_code": "370151320",
"telephone_number": "901-857-5269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 N MAIN ST STE A",
"city": "ASHLAND CITY",
"state": "TN",
"postal_code": "370151320",
"telephone_number": "901-857-5269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-29",
"last_updated": "2022-04-17",
"certification_date": "2022-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000029509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.