Active NPI
Beth A Jacobs, R. PH.
- Pharmacist
- Dallas, TX
National Provider Identifier
1871505172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23784
- Practice address
- 221 W Colorado Blvd
Suite 445
Dallas, TX 75208-2363 - Phone
- (214) 947-2435
- Fax
- (214) 947-2436
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- 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 | 23784 | TX | Primary |
Addresses
Primary practice location
221 W Colorado Blvd
Suite 445
Dallas, TX 75208-2363
Mailing address
4116 Myerwood LN
Dallas, TX 75244-7335
Phone (214) 908-6824
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23784 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1871505172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4116 MYERWOOD LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752447335",
"telephone_number": "214-908-6824",
"fax_number": "972-243-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W COLORADO BLVD",
"address_2": "SUITE 445",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082363",
"telephone_number": "214-947-2435",
"fax_number": "214-947-2436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "BETH",
"middle_name": "A",
"credential": "R. PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "23784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.