ROBERTA M JACOBSON (NPI# 1184789794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184789794 |
| Entity Type | Individual |
| Full Name | ROBERTA M JACOBSON |
| Credential | PHARM D. |
| Practice Address |
Hwy 18 Phs Indian Hospital Pine Ridge SD 57770-1201 |
| Mailing Address |
Po Box 1201 Pine Ridge SD 57770-1201 |
| Practice Telephone | 6058675131 |
| Mailing Telephone | 6058675131 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | NE 10197 | NE | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023475373 | Roberta Susan Jacobson | Occupational Therapist | 941 Perkiomenville Rd, Perkiomenville, PA 18074-9607 | 2016-01-18 |
| Street Address |
HWY 18 PHS INDIAN HOSPITAL |
| City | PINE RIDGE |
| State | SD |
| Zip Code | 57770-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134142243 | Chadron Vision Center, Inc. | Optometrist | Hwy 18, Lakota Oyate Otipi Ste 1, Pine Ridge, SD 57770 | 2006-07-26 |
| 1801377338 | Mirabelle Adamu-zeh | Pharmacist | Hwy 18, Pine Ridge, SD 57770-1201 | 2018-08-23 |
| 1780116665 | William C Charles | Pharmacist | Hwy 18, Pine Ridge, SD 57770 | 2017-03-30 |
| 1760932693 | Shannon Landry | Pharmacist | Hwy 18, Pine Ridge, SD 57770 | 2016-10-04 |
| 1972763167 | Debra Lacey | Registered Nurse | Hwy 18, Pine Ridge, SD 57770 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508427352 | Apollo Medflight, LLC | Ambulance | 12 Airport Rd, Pine Ridge, SD 57770 | 2019-06-24 |
| 1740795780 | Oglala Sioux Tribe Air Rescue | Ambulance | Pine Ridge Comprehensive Hospital: 1201 E. Highway 18th, Pineridge, SD 57770 | 2017-12-13 |
| 1841546264 | Sharla Laurene Roth | Pharmacist | E Highway 18, Pine Ridge, SD 57770 | 2012-08-03 |
| 1477843282 | Keith Lincoln Keller | Family Medicine | Ihs Pine Ridge Service Unit, Hwy 18, Pine Ridge, SD 57770 | 2011-04-13 |
| 1992024137 | Jackalyn Spry | Radiologic Technologist | 4500 E Hwy 18, Pine Ridge, SD 57770 | 2010-05-27 |
| 1063666071 | Virginia Horn | Registered Nurse | 1201 East Highway 18, Pine Ridge, SD 57770 | 2008-11-05 |
| 1881854602 | Melva A Clifford | Registered Nurse | 4500 Main Street, Pine Ridge, SD 57770 | 2008-06-16 |
| 1487814513 | Rodney R Sahr | Registered Nurse | Hwy 18 East, Pine Ridge Hospital, Pine Ridge, SD 57770 | 2008-06-12 |
| 1770743924 | Maneen Baker | Registered Nurse | Pine Ridge Ihs, Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-11 |
| 1871752139 | Patricia Jane Broberg | Registered Nurse | Us Hwy 18, Pine Ridge, SD 57770 | 2008-06-03 |
| Find all providers in zip 57770 | ||||
| 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 |
|---|---|---|---|---|
| 1922474758 | Siyue Li | Pharmacist | East U.S. 18, Pine Ridge, SD 57770-1002 | 2015-08-17 |
| 1528466620 | Ken Riverson | Pharmacist | Hwy 18 E, Phs Indian Health Hospital, Pine Ridge, SD 57770-1201 | 2014-12-05 |
| 1841546264 | Sharla Laurene Roth | Pharmacist | E Highway 18, Pine Ridge, SD 57770 | 2012-08-03 |
| 1316246259 | Michael Brian Brady | Pharmacist | East Hiway 18, Pine Ridge, SD 57770-1201 | 2011-03-17 |
| 1780984476 | Brian Edward Paull | Pharmacist | 4500 East Highway 18, Pine Ridge, SD 57770-1201 | 2010-10-27 |
| 1700019668 | Gregory Michael Sarchet | Pharmacist | 4500 Main Street East Highway 18, Pine Ridge, SD 57770-1201 | 2009-08-26 |
| 1992911010 | Peter I Juve | Pharmacist | Usphs Indian Hospital Pharmacy, East Hwy 18, Pine Ridge, SD 57770 | 2007-05-15 |
| 1225240252 | Krista Sue Evans | Pharmacist | East Hwy 18 Phs Indian Hospital, Attn: Pharmacy, Pine Ridge, SD 57770-1201 | 2007-05-03 |
| 1578696761 | Latona M Austin | Pharmacist | Pine Ridge Ihs Pharmacy, East Hwy 18, Pine Ridge, SD 57770 | 2007-03-14 |
| 1679604805 | Mary Bickel | Pharmacist | E Hwy 18, Pine Ridge, SD 57770 | 2007-03-08 |
| Find all providers in PINE RIDGE | ||||
| City | PINE RIDGE |
| Zip Code | 57770 |
Please comment or provide details below to improve the information on ROBERTA M JACOBSON.
| 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.