Christine Renee Jacobson-Ware, RPH, DAAFM

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

334748-1701 Issued in UT

Practice address

1028 Chambers St
Ogden, UT 84403-5181

Phone

(801) 479-0331

Fax

(855) 273-1877

NPI assigned

Nov 18, 2020

Sex

Female

Sole proprietor

Yes

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

Registered Pharmacist

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.

• CRJ Health Services, Inc

  • Community/Retail Pharmacy
  • Ogden, UT
  • NPI 1538105424
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1568065019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 CHAMBERS ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035181",
            "telephone_number": "801-479-0331",
            "fax_number": "855-273-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 CHAMBERS ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035181",
            "telephone_number": "801-479-0331",
            "fax_number": "855-273-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON-WARE",
        "first_name": "CHRISTINE",
        "middle_name": "RENEE",
        "credential": "RPH, DAAFM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "UT",
            "license": "334748-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ivy
• Kyle Jackman, D.O
• Angela Maria Jackson, LPC
• Matthew Jackson, PA-C, MPAS
• Jill Jacobs, RN
• Becky J Jacobson, NP APRN
• Larry Kay Jacobson, LPC NCC
• Eric Jaehne
• James E Wellman MD
• James Healy DDS

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ogden, UT
• Providers in Ogden, UT by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.