Individual provider Active NPI

Jacob Charles Reaser, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Bethlehem, PA
National Provider Identifier
1447793625
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
RP451211 Issued in PA
Practice address
4311 Easton Ave
Bethlehem, PA 18020-1431
Phone
(484) 526-7410
Fax
(866) 436-6461
NPI assigned
Nov 21, 2016
Last updated
May 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 067280 NY
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH236079 MA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RP451211 PA Primary

Addresses

Primary practice location

4311 Easton Ave
Bethlehem, PA 18020-1431

Mailing address

4311 Easton Ave
Bethlehem, PA 18020-1431
Phone (484) 526-7410

Other identifiers 3

IdentifierTypeStateIssuer
PH236079OtherMAMASSACHUSETTS PHARMACIST LICENSE
067280OtherNYNEW YORK PHARMACIST LICENSE
RP451211OtherPAPENNSYLVANIA PHARMACIST LICENSE

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
PH236079MAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
067280NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP451211PAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1447793625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201431",
            "telephone_number": "484-526-7410",
            "fax_number": "866-436-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201431",
            "telephone_number": "484-526-7410",
            "fax_number": "866-436-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REASER",
        "first_name": "JACOB",
        "middle_name": "CHARLES",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-21",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "067280",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MA",
            "license": "PH236079",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PA",
            "license": "RP451211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS PHARMACIST LICENSE",
            "identifier": "PH236079",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK PHARMACIST LICENSE",
            "identifier": "067280",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA PHARMACIST LICENSE",
            "identifier": "RP451211",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; 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.