Active NPI
Jacob Michael Houtz, RPH
- Pharmacist
- Brockton, MA
National Provider Identifier
1184514564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH1002356
- Practice address
- 555 Belmont St
Brockton, MA 02301-4927 - Phone
- (508) 586-7988
- NPI assigned
- Jul 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | PH1002356 | MA | Primary |
Addresses
Primary practice location
555 Belmont St
Brockton, MA 02301-4927
Mailing address
235 Pleasant St # 2
Pawtucket, RI 02860-3829
Phone (570) 541-9742
Other practice location 1
1267 Main St
Brockton, MA 02301-7107
Phone (508) 587-0235
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH1002356 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pharmacy
- Brockton, MA
- NPI 1487753844
-
- Pharmacy
- Brockton, MA
- NPI 1881793248
-
- Pharmacy
- Stafford, TX
- NPI 1427931351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1184514564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 PLEASANT ST # 2",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028603829",
"telephone_number": "570-541-9742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 BELMONT ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023014927",
"telephone_number": "508-586-7988"
}
],
"practiceLocations": [
{
"address_1": "1267 Main St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023017107",
"country_code": "US",
"telephone_number": "508-587-0235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUTZ",
"first_name": "JACOB",
"middle_name": "MICHAEL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH1002356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.