Active NPI
Dawn Anita Jacobs, PHARMD
- Pharmacist
- Baltimore, MD
National Provider Identifier
1952810947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15066
- Practice address
- 3501 Sinclair LN
Baltimore, MD 21213-2029 - Phone
- (443) 703-3654
- Fax
- (443) 703-3639
- NPI assigned
- Sep 22, 2017
- 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 | 15066 | MD | Primary |
Addresses
Primary practice location
3501 Sinclair LN
Baltimore, MD 21213-2029
Mailing address
5525 Eastern Ave Ste 301
Baltimore, MD 21224-2796
Phone (443) 703-3655
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1952810947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 EASTERN AVE STE 301",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242796",
"telephone_number": "443-703-3655",
"fax_number": "443-703-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 SINCLAIR LN",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212132029",
"telephone_number": "443-703-3654",
"fax_number": "443-703-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "DAWN",
"middle_name": "ANITA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "15066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.