NPIMap

Individual provider Active NPI

Jacob Michael Sebastiao, PHARMD

  • Geriatric Pharmacist
  • Bridgeville, PA
National Provider Identifier
1265791545
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
RP445286 Issued in PA
Practice address
1041 Washington Pike
Suite 100
Bridgeville, PA 15017
Phone
(412) 319-4900
NPI assigned
May 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X RP445286 PA Primary

Addresses

Primary practice location

1041 Washington Pike
Suite 100
Bridgeville, PA 15017

Mailing address

1041 Washington Pike
Suite 100
Bridgeville, PA 15017

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

LicenseStateTypeSpecialty
RP445286PAMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alixa RX LLC Past Accepting new patients
Alixa RX LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1265791545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 WASHINGTON PIKE",
            "address_2": "SUITE 100",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "15017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 WASHINGTON PIKE",
            "address_2": "SUITE 100",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "15017",
            "telephone_number": "412-319-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAO",
        "first_name": "JACOB",
        "middle_name": "MICHAEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "PA",
            "license": "RP445286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.