Active NPI
Yolanda Antoinette Jacobs, PHARM.D.
- Pharmacist
- Oakland, CA
National Provider Identifier
1821184516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54192
- Practice address
- 200 Webster Street
Suite 200
Oakland, CA 94607 - Phone
- (510) 587-2635
- Fax
- (510) 587-2794
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 54192 | CA | Primary |
| Pharmacist | 183500000X | 0014651 | OR | |
| Pharmacist | 183500000X | 16391 | NV |
Addresses
Primary practice location
200 Webster Street
Suite 200
Oakland, CA 94607
Mailing address
P.O. Box 22190
Oakland, CA 94626
Phone (916) 683-5705
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 |
|---|---|---|---|
| 0014651 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Apothecary Eastmont Town Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Oakland, CA
- NPI 1376675751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1821184516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 22190",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94626",
"telephone_number": "916-683-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEBSTER STREET",
"address_2": "SUITE 200",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94607",
"telephone_number": "510-587-2635",
"fax_number": "510-587-2794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "YOLANDA",
"middle_name": "ANTOINETTE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54192",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0014651",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "16391",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.