Active NPI
Julie Jacobson, PHARMD
- Pharmacist
- Bismarck, ND
National Provider Identifier
1538501739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5569
- Practice address
- 3100 Railroad Ave
Bismarck, ND 58501-5011 - Phone
- (701) 328-6389
- NPI assigned
- Jul 29, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH5569 | ND | |
| Pharmacist | 183500000X | 5569 | ND | Primary |
Addresses
Primary practice location
3100 Railroad Ave
Bismarck, ND 58501-5011
Mailing address
3100 Railroad Ave
Bismarck, ND 58501-5011
Phone (701) 328-6389
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 |
|---|---|---|---|
| 5569 | ND | MD | Social Worker |
| RPH5569 | ND | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Dakota Docr Pharmacy | Pharmacist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1538501739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 RAILROAD AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585015011",
"telephone_number": "701-328-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 RAILROAD AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585015011",
"telephone_number": "701-328-6389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "JULIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "RPH5569",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "5569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.