Active NPI
Arun Jacob, PHARMD
- Pharmacist
- Exton, PA
National Provider Identifier
1487150777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP452134
- Practice address
- 141 West Lincoln Highway
Exton, PA 19341-2615 - Phone
- (610) 363-1008
- NPI assigned
- Apr 4, 2018
- Last updated
- Apr 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-00004242 | DE | |
| Pharmacist | 183500000X | PH100001224 | DC | |
| Pharmacist | 183500000X | RP452134 | PA | Primary |
Addresses
Primary practice location
141 West Lincoln Highway
Exton, PA 19341-2615
Mailing address
1128 Bartlett Rd
Chesterbrook, PA 19087-1207
Phone (516) 582-4028
Other practice location 1
1128 Bartlett Rd
Chesterbrook, PA 19087-1207
Phone (516) 582-4028
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH100001224 | DC | MD | Pharmacist |
| A1-00004242 | DE | MD | Pharmacist |
| RP452134 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Exton, PA
- NPI 1972017671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1487150777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 BARTLETT RD",
"city": "CHESTERBROOK",
"state": "PA",
"postal_code": "190871207",
"telephone_number": "516-582-4028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 WEST LINCOLN HIGHWAY",
"city": "EXTON",
"state": "PA",
"postal_code": "193412615",
"telephone_number": "610-363-1008"
}
],
"practiceLocations": [
{
"address_1": "1128 Bartlett Rd",
"address_purpose": "LOCATION",
"city": "Chesterbrook",
"state": "PA",
"postal_code": "190871207",
"country_code": "US",
"telephone_number": "516-582-4028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOB",
"first_name": "ARUN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-00004242",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100001224",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP452134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.