Active NPI
Jacobe Boston, PHARMD, RPH
- Pharmacist
- Shreveport, LA
National Provider Identifier
1760335103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 025903
- Practice address
- 1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800 - Phone
- (318) 681-5435
- NPI assigned
- Feb 17, 2026
- Sex
- Male
- 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 | 025903 | LA | Primary |
Addresses
Primary practice location
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Mailing address
8455 Fern Ave Apt 1808
Shreveport, LA 71105-5789
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025903 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1760335103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8455 FERN AVE APT 1808",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1453 E BERT KOUNS INDUSTRIAL LOOP",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711056800",
"telephone_number": "318-681-5435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSTON",
"first_name": "JACOBE",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-17",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "025903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.