Active NPI
Bridgette Annette Jacobs, RPH
- Pharmacist
- Missouri City, TX
National Provider Identifier
1417272345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29883
- Practice address
- 6120 Highway 6
Missouri City, TX 77459-3802 - Phone
- (281) 208-5828
- NPI assigned
- Apr 3, 2010
- Last updated
- Apr 3, 2010
- Sex
- Female
- 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 | 29883 | TX | Primary |
Addresses
Primary practice location
6120 Highway 6
Missouri City, TX 77459-3802
Mailing address
6120 Highway 6
Missouri City, TX 77459-3802
Phone (281) 208-5828
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18 | Medicaid | TX | |
| 18 | Other | TX | PHARMACIST |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29883 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270252800000",
"number": "1417272345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6120 HIGHWAY 6",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774593802",
"telephone_number": "281-208-5828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 HIGHWAY 6",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774593802",
"telephone_number": "281-208-5828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "BRIDGETTE",
"middle_name": "ANNETTE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-03",
"last_updated": "2010-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "29883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "18",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.