Active NPI
Casie Jacobs, PHARM. D.
- Pharmacist
- Murphysboro, IL
National Provider Identifier
1255875225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051299596
- Practice address
- 6495 Country Club Rd
Murphysboro, IL 62966-5202 - Phone
- (618) 687-3478
- Fax
- (618) 687-3547
- NPI assigned
- Dec 11, 2016
- Last updated
- Dec 11, 2016
- Sex
- Female
- 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 | 051299596 | IL | Primary |
Addresses
Primary practice location
6495 Country Club Rd
Murphysboro, IL 62966-5202
Mailing address
6495 Country Club Rd
Murphysboro, IL 62966-5202
Phone (618) 687-3478
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 |
|---|---|---|---|
| 051299596 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients |
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": "1481414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481414400000",
"number": "1255875225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6495 COUNTRY CLUB RD",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629665202",
"telephone_number": "618-687-3478",
"fax_number": "618-687-3547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6495 COUNTRY CLUB RD",
"city": "MURPHYSBORO",
"state": "IL",
"postal_code": "629665202",
"telephone_number": "618-687-3478",
"fax_number": "618-687-3547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "CASIE",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-11",
"last_updated": "2016-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051299596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murphysboro, IL
- Indiana Hearing LLC (Miracle Ear)
- Lindsey Marie Ingle, D.D.S.
- Jackson County (Jackson County Ambulance Service)
- Jackson County (Jackson County Health Department)
- Jackson County Surgical Associates
- Kimberly Anne Kalaher, D.C.
- Michael Kalaher, O.D.
- Kaleidoscope Connections, Inc.
- Amy Nelson Karg, M.S., CCC/SLP
- Ruth Karnes, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.