Jacob Ruben Deheck

Primary specialty

PharmacistTaxonomy code 183500000X

License

127347 Issued in MN

Practice address

1221 W Lake St Ste 200
Minneapolis, MN 55408-3565

Phone

(612) 824-1036

Fax

(612) 824-7862

NPI assigned

Jun 30, 2026

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Minneapolis, MN
  • NPI 1497938062
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1912824061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W LAKE ST STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083565",
            "telephone_number": "612-824-1036",
            "fax_number": "612-824-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W LAKE ST STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083565",
            "telephone_number": "612-824-1036",
            "fax_number": "612-824-7862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1585 Randolph Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551052149",
            "country_code": "US",
            "telephone_number": "651-440-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Lyndale Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554053686",
            "country_code": "US",
            "telephone_number": "612-872-7808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHECK",
        "first_name": "JACOB",
        "middle_name": "RUBEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "127347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Joy Degroot, LPCC
• Jessica Degrote, RN
• Jibat Bekele Degu
• Amie Lynn Deharpporte, LP
• Kirsten Marie Dehaven, DC
• Leila Dehghani, O.D.
• Amanda Dehkes, LMFT
• Jessica J Dehler, PA-C
• Matthew John Dehn, MA, LPCC
• Cara Jean Deininger, PHD

• Pharmacist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.