Jacob Jordan King, PHARMD, MBA

Primary specialty

PharmacistTaxonomy code 183500000X

License

60303 Issued in SC

Practice address

1300 Sunset Blvd
West Columbia, SC 29169-5914

Phone

(803) 791-7043

Fax

(803) 796-1519

NPI assigned

Aug 6, 2024

Last updated

Aug 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Master of Business Administration, Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Med Mart Weco LLC

  dba Medicine Mart of West Columbia (LTC)

  • Long Term Care Pharmacy
  • West Columbia, SC
  • NPI 1598579443
  NPD
• Med Mart Weco LLC

  dba Medicine Mart of West Columbia

  • Community/Retail Pharmacy
  • West Columbia, SC
  • NPI 1598858987

  Pharmacist

  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1679303473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695914",
            "telephone_number": "803-791-7043",
            "fax_number": "803-796-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291695914",
            "telephone_number": "803-791-7043",
            "fax_number": "803-796-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JACOB",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "60303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl O. Kinard, M.D.
• Philip Whitaker Kinder, M.D.
• Alyssa King, PHARMD
• Amber Sharise King, OTR
• Dwayne Ansel King, PT
• Shelly Lynn King, DPT, CLT-LANA
• David R Kingery, MD
• David Redding Kingery Jr., MD
• Kingship Properties, LLC
• Elizabeth Adams Kinney

• Pharmacist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.