Joshua Nathaniel Jacobs, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60993329 Issued in WA

Practice address

4800 Sand Point Way NE
M/S OB.6.402
Seattle, WA 98105-3901

Phone

(206) 987-7458

Fax

(206) 985-3272

NPI assigned

Jul 7, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seattle Childrens Hospital

  dba Seattle Childrens Outpatient Pharmacy

  • Clinic Pharmacy
  • Seattle, WA
  • NPI 1245342153
  NPD (past)
• Oklahoma CVS Pharmacy LLC

  dba CVS Pharmacy #10102

  • Pharmacy
  • Enid, OK
  • NPI 1407278260
  NPD (past)
• Oklahoma CVS Pharmacy LLC

  • Pharmacy
  • Tulsa, OK
  • NPI 1851827059
  NPD (past)

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

{
    "created_epoch": "1341619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1205191186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "address_2": "M/S OB.6.402",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-7458",
            "fax_number": "206-985-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "address_2": "M/S OB.6.402",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-7458",
            "fax_number": "206-985-3272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 116th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043829",
            "country_code": "US",
            "telephone_number": "206-884-9120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JOSHUA",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-07",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "51523",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH-4578",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60993329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drew Jacobs
• Grace Jacobs, LICSW
• Howard L. Jacobs, RRT
• Jeffrey D Jacobs, MD
• Jessica L Jacobs, DO
• Kristie M Jacobs, LMP
• Mary C. Jacobs, RN
• Nancy Jo Jacobs, PH.D.
• Nichole Jacobs
• Olivia Brown Jacobs, LSWAIC

• Pharmacist in Seattle, WA
• Providers in Seattle, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.