Organization Active NPI

Jakobson Drug & Hallmark Shop

  • Pharmacist
  • Osage, IA
National Provider Identifier
1316036650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
521 Issued in IA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ivar JakobsonNPI 1669493847
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1614672OtherIANABP
0033993MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.