Jacob Arnold Meyer, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

123688 Issued in MN

Practice address

6055 Nathan LN N # 200a
Plymouth, MN 55442-1674

Phone

(763) 513-4300

Fax

(763) 513-4380

NPI assigned

Feb 12, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1982160107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 2ND ST SW",
            "city": "PINE ISLAND",
            "state": "MN",
            "postal_code": "559639112",
            "telephone_number": "563-379-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 NATHAN LN N # 200A",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554421674",
            "telephone_number": "763-513-4300",
            "fax_number": "763-513-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JACOB",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23176",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "123688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro First Assistants, Inc.
• Metropolitan Anesthesia Network, LLP
• Metropolitan Oral and Maxillofacial Surgeons PA
• Metropolitan Prosthodontics PA
• Nancy A. Mettille, M.D.
• Regina Mhiripiri, M.A., LAMFT
• Michael C. Fasching, M. D. P. a.
• Franklin Michael
• Erika Michaels
• Michael Anthony Michals, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.