Active NPI
Sarah Jacobson, PHARMD
- Pharmacist
- La Grange, KY
National Provider Identifier
1609600659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 015088
- Practice address
- 2300 Fendley Rd
La Grange, KY 40031-7600 - Phone
- (502) 592-7767
- NPI assigned
- Aug 30, 2024
- 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 | 015088 | KY | Primary |
Addresses
Primary practice location
2300 Fendley Rd
La Grange, KY 40031-7600
Mailing address
1051 New Moody Lane
La Grange, KY 40031
Phone (502) 253-5960
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 |
|---|---|---|---|
| 015088 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1609600659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 NEW MOODY LANE",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "40031",
"telephone_number": "502-253-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 FENDLEY RD",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400317600",
"telephone_number": "502-592-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "SARAH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-30",
"last_updated": "2024-08-30",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.