Jacob Phillip Lang, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S025208 Issued in AZ

Practice address

9230 E Broadway Rd
Mesa, AZ 85208-2426

Phone

(480) 986-3004

Fax

(480) 986-7039

NPI assigned

Sep 21, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

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.

• German Dobson CVS LLC

  • Pharmacy
  • Queen Creek, AZ
  • NPI 1639053374
  NPD (past)
• German Dobson CVS, L.L.C.

  • Pharmacy
  • Mesa, AZ
  • NPI 1972607869
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Champlin, MN
  • NPI 1396750519
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1760098172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082426",
            "telephone_number": "480-986-3004",
            "fax_number": "480-986-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852082426",
            "telephone_number": "480-986-3004",
            "fax_number": "480-986-7039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11401 Marketplace Dr N",
            "address_purpose": "LOCATION",
            "city": "Champlin",
            "state": "MN",
            "postal_code": "553163794",
            "country_code": "US",
            "telephone_number": "763-427-6389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANG",
        "first_name": "JACOB",
        "middle_name": "PHILLIP",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "124728",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S025208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lane
• John P Lane, D.C., F.I.A.M.A
• Jordan Lane
• Sharin Lane, DPT
• Brittany Nicole Lang, BA, BHT
• Loriann Rochelle Lang, CPNP
• Morgan Lang
• Oliver Maxwell Lang, PTA
• Julie Kathleen Langanke, BSW
• Charlotte Lange, RN,BSN

• Pharmacist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; 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.