JACOB L SMITH


Address: 4627 S 900 E, Salt Lake City, UT 84117-4879
Phone: 8012613818

JACOB L SMITH (NPI# 1003417510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003417510
Entity Type Individual
Full Name JACOB L SMITH
Practice Address 4627 S 900 E
Salt Lake City
UT 84117-4879
Practice Telephone 8012613818
Mailing Telephone 8012613818
Enumeration Date 2020-11-03
Last Update Date 2020-11-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 6616817-1707 UT Pharmacy Service Providers

Other Providers JACOB SMITH

NPI Name Taxonomy Address Enumeration
1043825698 Jacob Smith Contractor 960 W Southern Ave Apt 2006, Mesa, AZ 85210-4968 2020-09-10
1396224838 Jacob Smith Pathology A711 Scaife Hall 3550 Terrace Street, Pittsburgh, PA 15261-0001 2018-08-07
1255790788 Jacob Glen Smith Chiropractor 107 Commerce Dr, Suite A, Green River, WY 82935-6179 2016-02-11
1548675945 Jacob Steven Smith Specialist/Technologist 309 Lake Shore Cir, Bloomington, IL 61704-1412 2014-06-24
1629498209 Jacob David Smith Counselor 3932 W Martin Mill Pike, Knoxville, TN 37920-2457 2014-04-22
1972859676 Jacob Smith Massage Therapist 8137 Sw 40th Ave, Portland, OR 97219-3502 2012-07-31
1932332434 Jacob Thomas Smith Dentist 200 Cornerstone Dr Ste 200&203, Cary, NC 27519-8428 2009-08-31
1528170818 Jacob Tyler Smith Optometrist 3720 W Robinson St, Suite 118, Norman, OK 73072-3657 2006-08-31
1427672450 Jacob Connor Smith Optometrist 110 College St Ste B, Athens, AL 35611-2714 2020-06-05
1528544152 Jacob Smith Hearing Instrument Specialist 380 N Terra Cotta Rd, Crystal Lake, IL 60012-1809 2018-07-17

Office Location

Street Address 4627 S 900 E
City SALT LAKE CITY
State UT
Zip Code 84117-4879

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023035219 Walmart Inc. Durable Medical Equipment & Medical Supplies 4627 S 900 E, Salt Lake City, UT 84117-4879 2006-07-16
1225639792 Nina Barsegian Pharmacist 4627 S 900 E, Salt Lake City, UT 84117-4879 2020-11-02
1326129180 Wal-mart Stores, Inc Technician/Technologist 4627 S 900 E, Salt Lake City, UT 84117-4879 2006-10-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063052256 Abundant Dental Care, P.C. Dentist 1548 E 4500 S #104, Holladay, UT 84117 2020-01-15
1578127221 Signature Utah Dental Partners PC Clinic/Center 2240 E Murray Holladay Rd, Holladay, UT 84117 2019-04-29
1700392974 Marette Monson, LLC Community/Behavioral Health 2180 East 4500 South, Suite 105, Holladay City, UT 84117 2017-12-23
1942714639 Harmon City Inc Pharmacy 4675 South Holladay Blvd, Holladay, UT 84117 2017-11-17
1881119444 Brianna Stewart Physical Medicine & Rehabilitation 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 2017-08-04
1861842874 Whitney Aste Dentist 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 2016-06-21
1922403765 Tri-peak, Pllc Psychologist 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 2014-10-22
1356689566 Mckenzie Vierig Marriage & Family Therapist 4568 S Highland Dr Ste 380, Millcreek, UT 84117 2013-01-22
1821348640 Fabiola Marquez Jamieson Social Worker 4500 S 2180 E, Suite 165, Holladay, UT 84117 2012-09-19
1073882882 Amy Rose White Social Worker 4500 South 2180 East, Suite 165, Holladay, UT 84117 2011-12-22
Find all providers in zip 84117

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245830108 Chadwick M Smith Pharmacist 7494 S 2135 E, Salt Lake City, UT 84121-4970 2020-10-29
1568074318 Kelli Thorup Pharmacist 458 E Emerson Ave, Salt Lake City, UT 84115-1531 2020-08-21
1376154435 James Lindsay Clark Pharmacist 201 S 1300 E Ste 101, Salt Lake City, UT 84102-2608 2020-08-12
1699392530 Rebecca Lavasani Pharmacist 1813 E Orchard Dr, Salt Lake City, UT 84106-3258 2020-06-26
1912541772 Alesia Lynne Hanson Pharmacist 2233 S Presidents Dr Ste B, Salt Lake City, UT 84120-7244 2019-11-04
1316596554 Adam Davies Pharmacist 1280 E Stringham Ave., Salt Lake City, UT 84106 2019-09-10
1346899085 Nathan Wilson Pharmacist 1950 Circle of Hope Dr Ste N1780, Salt Lake City, UT 84112-5500 2019-09-05
1437711918 Hillary Hansen Parkin Pharmacist 85 N Medical Dr, Salt Lake City, UT 84112-1100 2019-07-03
1972087328 Reza Salman Pharmacist 4720 S Fortuna Way, Salt Lake City, UT 84124-5620 2018-09-21
1801373022 John Gardner Pharmacist 1280 E Stringham Ave, Salt Lake City, UT 84106-2490 2018-07-20
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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