Jacob Van Leeuwen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

31535 Issued in NC

Practice address

425 Emissary Dr
Cary, NC 27519-2608

Phone

(919) 337-4600

NPI assigned

Aug 22, 2022

Last updated

Aug 22, 2022By 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

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.

• Publix North Carolina, LP

  dba Publix Pharmacy #1552

  • Community/Retail Pharmacy
  • Cary, NC
  • NPI 1265919443
  NPD
• Publix North Carolina, LP

  dba Publix Pharmacy #1824

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1578360525
  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1700504198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 EMISSARY DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275192608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 EMISSARY DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275192608",
            "telephone_number": "919-337-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LEEUWEN",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "31535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Valinhas
• Vinod Chita Vallabh, MD, FRCP
• Kristen Valus, PSYD
• Martin Van Cleeff, MD
• Christina Van Donk, PT
• Lauren Van Valkenburgh, PT
• Jillian Quinn Van Wagenen, MA, LCMHCA, LCAS
• Bruce Alan Vande Berg, DDS
• Jennifer Vande Loo
• Chelsea Vandegrift

• Pharmacist in Cary, NC
• Providers in Cary, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.