Jacob Kevin Dunn, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

72411 Issued in TX

Practice address

6991 Old Jacksonville Hwy
Tyler, TX 75703-0579

Phone

(903) 747-3508

NPI assigned

Jul 3, 2023

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

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1871270710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6991 OLD JACKSONVILLE HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030579",
            "telephone_number": "903-747-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6991 OLD JACKSONVILLE HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030579",
            "telephone_number": "903-747-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "JACOB",
        "middle_name": "KEVIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "72411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silas Edwin Duncan, M.D.
• Stephanie Duncan
• Brandi Dunford, FNP-C
• Steven Christipher Dunford, P.T.
• Kimberley Anganette Dunigan, HIS
• Kylie Dunn, DO
• Shawn G Dunn, MD
• Jessica Ann Dunnavant X, LCDC
• Dale Dupont
• Danielle Dupuis Dupre, AUD

• Pharmacist in Tyler, TX
• Providers in Tyler, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.