Jacob Thomas Hyatt, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD11998 Issued in AR

Practice address

11114 Mac Arthur Dr
North Little Rock, AR 72118-1854

Phone

(501) 851-3636

Fax

(501) 851-3640

NPI assigned

Jan 6, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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

• Oak Grove Pharmacy Inc

  • Community/Retail Pharmacy
  • North Little Rock, AR
  • NPI 1316922487
  NPD Authorized official

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1457949307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11114 MAC ARTHUR DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181854",
            "telephone_number": "501-851-3636",
            "fax_number": "501-851-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11114 MAC ARTHUR DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181854",
            "telephone_number": "501-851-3636",
            "fax_number": "501-851-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "JACOB",
        "middle_name": "THOMAS",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD11998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Hurley, RD
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• Nicole Joy Hurtt, LMT
• Ifrah Amreen Hussaini
• Grover Henry Hutson, AU.D.
• Nathan Richard Hydes, PH.D.
• I and E Inspire and Excel Enterprise
• Michelle J Ibsen, M.D.
• Id of Central Arkansas, PLLC
• Iiii Optical - Dog Town LLC

• Pharmacist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.