Jacob Riley, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

2024018310 Issued in MO

Practice address

12509 Dorsett Rd
Maryland Heights, MO 63043-3909

Phone

(314) 434-4224

NPI assigned

Jun 4, 2024

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2024.

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1497596332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 BEVERLY DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034009",
            "telephone_number": "636-498-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12509 DORSETT RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630433909",
            "telephone_number": "314-434-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2024018310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanmarie Reynolds, LPC
• Shannon Rose Richardson, MS, CCC-SLP
• Stephanie Riegel, MS
• Righteous Trees LLC
• Riley Spence Properties No. 2 LLC
• Scott Riopel
• Adam Rios
• Casey Ripplinger, M.S. CF-SLP
• Stephanie Rittgers, MSPT
• Galina Rivkin, M.D.

• All providers in Maryland Heights, MO
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.