Active NPI
Jacob R. Turin, PHARMD
- Pharmacist
- Eagle Butte, SD
National Provider Identifier
1770164865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0012204
- Practice address
- 24276 166TH Street, Airport Rd.
Eagle Butte, SD 57625 - Phone
- (605) 964-7724
- NPI assigned
- Apr 20, 2021
- 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 | 0012204 | WV | Primary |
Addresses
Primary practice location
24276 166TH Street, Airport Rd.
Eagle Butte, SD 57625
Mailing address
PO Box 823
Eagle Butte, SD 57625-0823
Phone (724) 953-8226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012204 | Other | WV | WEST VIRGINIA BOARD OF PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jacob.Turin@ihs.gov |
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 |
|---|---|---|---|
| 0012204 | WV | MD | Pharmacist |
Interoperability endpoints
- jacob.turin@ihs.gov
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1770164865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 823",
"city": "EAGLE BUTTE",
"state": "SD",
"postal_code": "576250823",
"telephone_number": "724-953-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24276 166TH STREET, AIRPORT RD.",
"city": "EAGLE BUTTE",
"state": "SD",
"postal_code": "57625",
"telephone_number": "605-964-7724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURIN",
"first_name": "JACOB",
"middle_name": "R.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-20",
"last_updated": "2021-04-20",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "0012204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VIRGINIA BOARD OF PHARMACY",
"identifier": "0012204",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jacob.Turin@ihs.gov",
"affiliation": "N",
"address_1": "24276 166th Street, Airport Rd.",
"city": "Eagle Butte",
"state": "SD",
"country_code": "US",
"postal_code": "57625",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eagle Butte, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.