DR. JACOB SULLIVAN KREBS (NPI# 1386085348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386085348 |
| Entity Type | Individual |
| Full Name | DR. JACOB SULLIVAN KREBS |
| Credential | PHARM.D |
| Practice Address |
131 Eureka Towne Center Dr Eureka MO 63025-1031 |
| Mailing Address |
1122 Sidney St # 1 Saint Louis MO 63104-4311 |
| Practice Telephone | 6369389425 |
| Enumeration Date | 2013-07-07 |
| Last Update Date | 2013-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2013022775 | MO | Pharmacy Service Providers |
| Street Address |
131 EUREKA TOWNE CENTER DR |
| City | EUREKA |
| State | MO |
| Zip Code | 63025-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821060419 | Kevin W. Hicks | Optometrist | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2006-02-07 |
| 1801497342 | Nancy Rhea Stine | Pharmacist | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2020-11-02 |
| 1760807598 | Jennifer Decker | Pharmacist | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2014-03-04 |
| 1780767061 | Wal-mart Stores East, Lp | Technician/Technologist | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2006-10-23 |
| 1598782856 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 131 Eureka Towne Center Dr, Eureka, MO 63025-1031 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173736 | Sharon Henderson | Specialist/Technologist | 4525 Missouri 109, Eureka High School, Eureka, MO 63025 | 2015-09-10 |
| 1750654372 | Charles George Thierauf | Radiology | 463 Meramec View Drive, Eureka, MO 63025 | 2012-02-13 |
| 1326273723 | Carol Johnston | Case Management | 1417 West 5th Street, Eureka, MO 63025 | 2009-05-28 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1740439199 | Kristi A Moore | Internal Medicine | 20 The Legends Parkway, Eureka, MO 63025 | 2008-09-10 |
| 1356508758 | Michael W. Noble, Dmd, PC | Dentist | 60 East North Street, Eureka, MO 63025 | 2008-05-22 |
| 1265640973 | Christopher A Michalek | Social Worker | 643 Vista Hills Ct, Eureka, MO 63025 | 2007-05-18 |
| 1396966883 | Mitzi S Pasch | Social Worker | 1 Hilltop Village Center, Ste. 3a, Eureka, MO 63025 | 2007-05-01 |
| 1194949727 | Ssm Berland Eureka Imaging Services LLC | Radiology | #20 The Legends Parkway Drive, Suite 160, Eureka, MO 63025 | 2007-04-13 |
| 1548388077 | Heather D Gjorgjievski | Family Medicine | 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 | 2007-03-26 |
| Find all providers in zip 63025 | ||||
| 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 |
|---|---|---|---|---|
| 1396295416 | Camtrang Le | Pharmacist | 800 W Harris St Ste 20, Eureka, CA 95503-3929 | 2016-10-13 |
| 1952683955 | Justino Salvador | Pharmacist | 1424 Broadway St, Eureka, CA 95501-0134 | 2011-09-15 |
| 1285912899 | Derby John Mclaughlin | Pharmacist | 85 Barscape Ln, Eureka, CA 95503-8525 | 2011-07-31 |
| 1215134424 | Daniel Paul Winkelmann IIi | Pharmacist | 354 Lewis Bluff Cir, Eureka, MO 63025-1638 | 2007-06-29 |
| 1427259407 | Richard Dee Brewer | Pharmacist | 998 Hwy 93n, Eureka, MT 59917 | 2007-05-29 |
| 1871706325 | Yumon Kwock | Pharmacist | 411 Harris St, 411 Harris St., Eureka, CA 95503-4416 | 2007-05-08 |
| 1497826671 | Trevor Ryan Erickson | Pharmacist | 546 Us Highway 93 N, Eureka, MT 59917-9053 | 2006-11-10 |
| 1497852578 | Hamideh Tavakoli-ahmady | Pharmacist | St. Joseph Hospital, 2700 Dolbeer Ave., Eureka, CA 95501 | 2006-09-20 |
| 1083655146 | Michael D Hutchison | Pharmacist | 714 F St, Eureka, CA 95501-1036 | 2006-06-09 |
| 1316913551 | Richard Michael Spini | Pharmacist | 2515 Harrison Ave, Eureka, CA 95501-3220 | 2006-02-27 |
| Find all providers in EUREKA | ||||
Please comment or provide details below to improve the information on DR. JACOB SULLIVAN KREBS.
| 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.