Active NPI
Helene Ruth Jacobson, PHARM.D.
- Pharmacist
- Portsmouth, VA
National Provider Identifier
1871745240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43898
- Practice address
- 620 John Paul Jones Cir
Portsmouth, VA 23708-2111 - Phone
- (757) 953-0266
- NPI assigned
- Oct 16, 2008
- 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 | PS43898 | FL | Primary |
Addresses
Primary practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Mailing address
850 Crawford Pkwy
Unit 1201
Portsmouth, VA 23704-2304
Phone (954) 319-0595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS43898 | Other | FL | PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| PS43898 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1871745240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 CRAWFORD PKWY",
"address_2": "UNIT 1201",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237042304",
"telephone_number": "954-319-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082111",
"telephone_number": "757-953-0266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "HELENE",
"middle_name": "RUTH",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43898",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "PS43898",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
- Laura Ashlyn Broome Jackson, PHARMD
- Maggie Jackson, RDH (BSDH/MASTER OF
- Monica Maigol Jackson, MD
- Ronny Lynn Jackson, M.D.
- Theresa G Jackson, MD
- Vanda Gibson Jaggard, REGISTERED NURSE
- Richard H Jaglowski, LCSW
- James Bentley Treatment Program
- James Bentley Treatment Program
- James Bentley Treatment Program
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.