Heathere Marie Jacobson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

124053 Issued in MN

Practice address

1130 E 37TH St
Hibbing, MN 55746-2962

Phone

(218) 259-9154

NPI assigned

Jun 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Duluth, MN
  • NPI 1861407173
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1265058325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 ASH AVE",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557679618",
            "telephone_number": "218-259-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E 37TH ST",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462962",
            "telephone_number": "218-259-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "HEATHERE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "124053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iron Range Counseling Services
• Joseph Roy Ismil Jr., MA, LPCC
• Ivyrose LLC
• Susan Jacobs, PHARM D
• Jacobson Family Dentistry P.C.
• Patrecia Taplin Jacobson, DDS
• Dawn Bremer Jenkins, MSSW LICSW
• John L Bonner Eye Clinic LTD
• Anita K Johnson-Hoehne, CNP
• Dana Ruthe Johnson

• Pharmacist in Hibbing, MN
• Providers in Hibbing, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.