Jacob's Discount Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28735 Issued in TX

Legal business name

JACOB'S DISCOUNT PHARMACY, INC.

Doing business as

Jacob's Discount Pharmacy

Practice address

8118 Long Point Rd
Houston, TX 77055-2006

Phone

(713) 469-3502

Fax

(713) 469-3505

NPI assigned

Jan 13, 2014

Last updated

Oct 25, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ragae Moawad, RPH

Title

Manager

Phone

(412) 799-3943

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jacob's Discount Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1891117735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552006",
            "telephone_number": "713-469-3502",
            "fax_number": "713-469-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 LONG POINT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552006",
            "telephone_number": "713-469-3502",
            "fax_number": "713-469-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB'S DISCOUNT PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "MOAWAD",
        "authorized_official_first_name": "RAGAE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "412-799-3943",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143730",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146896",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacob's Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shammy Jacob, RN, MS, FNP-C
• Shruti Elizabeth Jacob I
• Smitha Jacob
• Sophia Jacob, PA-C
• Susan Jacob, NP
• Elizabeth Marie Jacobi, M.D.
• Guadalupe Jacobo, CAREGIVER
• Jacobs Ladder Psychological Services, PLLC
• Alexandra Loren Kramer Jacobs
• Bobby Jacobs, NP

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.