Active NPI
Jacob Goll, PHARMD
- Pharmacist
- Lehi, UT
National Provider Identifier
1265311658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025874
- Practice address
- 3300 N Ashton Blvd Ste 100
Lehi, UT 84048-5349 - Phone
- (480) 305-3158
- NPI assigned
- Aug 29, 2025
- 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 | S025874 | AZ | Primary |
Addresses
Primary practice location
3300 N Ashton Blvd Ste 100
Lehi, UT 84048-5349
Mailing address
5937 E Sinclair St
Phoenix, AZ 85054-5855
Phone (480) 305-3158
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 |
|---|---|---|---|
| S025874 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1265311658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5937 E SINCLAIR ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850545855",
"telephone_number": "480-305-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 N ASHTON BLVD STE 100",
"city": "LEHI",
"state": "UT",
"postal_code": "840485349",
"telephone_number": "480-305-3158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLL",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.