Active NPI
Tegan Elaine Jacobson, PHARMD
- Pharmacist
- Battle Creek, MI
National Provider Identifier
1548749583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63111
- Practice address
- 5500 Armstrong Rd
119A
Battle Creek, MI 49037 - Phone
- (269) 966-5600
- NPI assigned
- Aug 10, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63111 | TX | Primary |
Addresses
Primary practice location
5500 Armstrong Rd
119A
Battle Creek, MI 49037
Mailing address
5500 Armstrong Rd
119A
Battle Creek, MI 49037
Phone (269) 966-5600
Other names 1
- Mrs. Tegan Elaine Ott
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 |
|---|---|---|---|
| 63111 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1548749583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 ARMSTRONG RD",
"address_2": "119A",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "49037",
"telephone_number": "269-966-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 ARMSTRONG RD",
"address_2": "119A",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "49037",
"telephone_number": "269-966-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "TEGAN",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-10",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "63111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TEGAN",
"last_name": "OTT",
"middle_name": "ELAINE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.