JESSICA MARIA JACOBO (NPI# 1164830626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164830626 |
| Entity Type | Individual |
| Full Name | JESSICA MARIA JACOBO |
| Credential | PHARMD |
| Practice Address |
100 Highline Dr East Wenatchee WA 98802 |
| Mailing Address |
Po Box 3190 Wenatchee WA 98807-3190 |
| Practice Telephone | 5098840614 |
| Mailing Telephone | 4022125970 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2018-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60752144 | WA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 113 1st St Ne, Mount Vernon, IA 523141422 | 3198956248 | 3198956991 |
| Street Address |
100 HIGHLINE DR |
| City | EAST WENATCHEE |
| State | WA |
| Zip Code | 98802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840020 | Floy Evon Detwiler | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2005-06-09 |
| 1821580960 | Megan E Lenz | Pharmacist | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2018-06-05 |
| 1649517467 | Wenatchee Valley Hospital | Clinic/Center | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2013-01-14 |
| 1114072113 | Robert Michael Norman | Physician Assistant | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2007-01-23 |
| 1427109974 | Kelly Ryan Gillespie | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2007-01-12 |
| 1629134960 | Paul Robert Larson | Nurse Practitioner | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-12-29 |
| 1548322456 | Shawn E Nixon | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-12-15 |
| 1447266382 | Francince K Morgen | Nurse Practitioner | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-07-31 |
| 1144240375 | Patrick Lynch | Internal Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-07-20 |
| 1962421230 | Katherine M Davies | Physician Assistant | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699215483 | Nicole Christinia Johnson | Dietitian, Registered | 50 Simon Street Se Suite A, East Wenatchee, WA 98802 | 2017-02-28 |
| 1013394337 | Robbie Bowling | Counselor | 636 Valley Mall Parkway, Suite 200, East Wenatchee, WA 98802 | 2015-05-06 |
| 1437572203 | Aging & Adult Care of Central Washington | Case Management | 270 9th Street Ne Suite 100, East Wenatchee, WA 98802 | 2014-01-29 |
| 1417379900 | Kathryn Marie Gallik Maccallum | Occupational Therapist | 1983 Legendary Ln Se, East Wenatchee, WA 98802 | 2014-01-17 |
| 1649606328 | Hilary Kathleen Mann | Massage Therapist | 304 Grant Road, Suite #1, East Wenatchee, WA 98802 | 2013-09-25 |
| 1932544988 | Sound Oxygen Service, Inc. | Durable Medical Equipment & Medical Supplies | 640 Valley Mall Pkwy Ste B, East Wenatchee, WA 98802 | 2013-05-03 |
| 1346519329 | Lindsay N Grode | Massage Therapist | 667 Grant Road, Suite 3, East Wenatchee, WA 98802 | 2011-12-21 |
| 1952601726 | Lizette Corral | Massage Therapist | 2434 Bellanca St, East Wenatchee, WA 98802 | 2010-10-27 |
| 1548415615 | Ashley Cristine Neumann | Counselor | 558 Morning View Ave, Ste 100, East Wenatchee, WA 98802 | 2008-11-17 |
| 1962528950 | Diana Maria Villalobos | Counselor | 220 Eastmont Ave Childrens Home Society of Washington, Suite B, East Wenatchee, WA 98802 | 2007-03-21 |
| Find all providers in zip 98802 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780058586 | Veronica Poortinga | Pharmacist | 1311 S Perry Ave # B, East Wenatchee, WA 98802-5856 | 2015-11-18 |
| 1386927531 | Kim Darlington | Pharmacist | 280 Manowar Ln, East Wenatchee, WA 98802-5590 | 2011-09-23 |
| 1780916346 | Rhonda L Mesler | Pharmacist | 780 Grant Rd, East Wenatchee, WA 98802-5429 | 2010-02-08 |
| 1699869123 | David Gordon Barber Jr. | Pharmacist | 510 Grant Road, East Wenatchee, WA 98802 | 2006-10-02 |
| 1043260201 | Rhonda Kay Eddy | Pharmacist | 11 Grant Rd, East Wenatchee, WA 98802-5328 | 2006-05-10 |
| 1003426438 | David Donghyun Lee | Pharmacist | 470 Grant Rd, East Wenatchee, WA 98802-5336 | 2020-07-31 |
| 1508406174 | Cara Lynn Vu | Pharmacist | 510 Grant Rd, East Wenatchee, WA 98802-5425 | 2020-01-13 |
| 1588134118 | Aleesha Beth Nieusma | Pharmacist | 470 Grant Rd, East Wenatchee, WA 98802 | 2018-11-27 |
| 1821580960 | Megan E Lenz | Pharmacist | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2018-06-05 |
| 1164920740 | Annie Jung | Pharmacist | 510 Grant Rd, East Wenatchee, WA 98802-5425 | 2018-01-29 |
| Find all providers in EAST WENATCHEE | ||||
| City | EAST WENATCHEE |
| Zip Code | 98802 |
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| 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.