Active NPI
Jakobson Drug & Hallmark Shop
- Pharmacist
- Osage, IA
National Provider Identifier
1316036650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 521
- Legal business name
- JAKOBSON DRUG & HALLMARK SHOP
- Practice address
- 635 Main St
Osage, IA 50461-1307 - Phone
- (641) 732-5452
- NPI assigned
- Oct 12, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ivar Jakobson
- Title
- Owner, Pharmacist
- Phone
- (641) 732-5452
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 521 | IA | Primary |
Addresses
Primary practice location
635 Main St
Osage, IA 50461-1307
Mailing address
635 Main St
Osage, IA 50461-1307
Phone (641) 732-5452
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1614672 | Other | IA | NABP |
| 0033993 | Medicaid | IA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Osage, IA
- NPI 1669493847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316036650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 MAIN ST",
"city": "OSAGE",
"state": "IA",
"postal_code": "504611307",
"telephone_number": "641-732-5452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 MAIN ST",
"city": "OSAGE",
"state": "IA",
"postal_code": "504611307",
"telephone_number": "641-732-5452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAKOBSON DRUG & HALLMARK SHOP",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JAKOBSON",
"authorized_official_first_name": "IVAR",
"authorized_official_title_or_position": "OWNER, PHARMACIST",
"authorized_official_telephone_number": "641-732-5452",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1614672",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0033993",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Osage, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.