Organization Active NPI

Jacobs Pills

  • Community/Retail Pharmacy
  • Chappaqua, NY
National Provider Identifier
1407904402
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
026105 Issued in NY
Legal business name
JACOBS PILLS
Practice address
6 S Greeley Ave
Chappaqua, NY 10514-3311
Phone
(914) 238-1700
Fax
(914) 238-1834
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Phil Altman
Title
Manager
Phone
(914) 238-1700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 026105 NY Primary

Addresses

Primary practice location

6 S Greeley Ave
Chappaqua, NY 10514-3311

Mailing address

6 S Greeley Ave
Chappaqua, NY 10514-3311

Other identifiers 3

IdentifierTypeStateIssuer
3314870OtherOTHER ID NUMBER-COMMERCIAL NUMBER
02513308MedicaidNY
3314870OtherOTHER ID NUMBER

Other names 1

  • HEALTHY CHOICE APOTHECARY Doing business as

National Provider Directory

National Provider Directory

Locations

6 S Greeley Ave
Chappaqua, NY 10514
Phone (914) 238-1700

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1407904402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S GREELEY AVE",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S GREELEY AVE",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143311",
            "telephone_number": "914-238-1700",
            "fax_number": "914-238-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS PILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "914-238-1700"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "026105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3314870",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02513308",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3314870",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHY CHOICE APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chappaqua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.