Active NPI
Anita N Jacobson, PHAM.D.
- Pharmacist
- Kingston, RI
National Provider Identifier
1972833804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH04030
- Practice address
- 7 Greenhouse Rd
295B
Kingston, RI 02881-2018 - Phone
- (401) 874-2641
- Fax
- (401) 874-5670
- NPI assigned
- Dec 25, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | RPH04030 | RI | |
| Pharmacist | 183500000X | RPH04030 | RI | Primary |
Addresses
Primary practice location
7 Greenhouse Rd
295B
Kingston, RI 02881-2018
Mailing address
7 Greenhouse Rd
Kingston, RI 02881-2018
Phone (401) 874-2641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH04030 | Other | RI | LICENSE |
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 |
|---|---|---|---|
| RPH04030 | RI | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ER Card LLC | Pharmacotherapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacotherapy Pharmacist
- West Warwick, RI
- NPI 1023246378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1972833804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 GREENHOUSE RD",
"city": "KINGSTON",
"state": "RI",
"postal_code": "028812018",
"telephone_number": "401-874-2641",
"fax_number": "401-572-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 GREENHOUSE RD",
"address_2": "295B",
"city": "KINGSTON",
"state": "RI",
"postal_code": "028812018",
"telephone_number": "401-874-2641",
"fax_number": "401-874-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "ANITA",
"middle_name": "N",
"credential": "PHAM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-25",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "RI",
"license": "RPH04030",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH04030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RPH04030",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.