JACOB CHARLES REASER (NPI# 1447793625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447793625 |
| Entity Type | Individual |
| Full Name | JACOB CHARLES REASER |
| Credential | PHARMD |
| Practice Address |
5535 Peach St Erie PA 16509-2603 |
| Mailing Address |
5200 Henderson Rd Apt 304 Erie PA 16509-4049 |
| Practice Telephone | 8148683488 |
| Mailing Telephone | 6108443285 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
PH236079 | MA | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
RP451211 | PA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASSACHUSETTS PHARMACIST LICENSE | PH236079 | 01 |
| PA | PENNSYLVANIA PHARMACIST LICENSE | RP451211 | 01 |
| Street Address |
5535 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033172762 | Jean M Storm | Internal Medicine | 5535 Peach St, Erie, PA 16509-2603 | 2006-04-12 |
| 1346848298 | Millcreek Manor | Clinical Medical Laboratory | 5535 Peach St, Erie, PA 16509-2603 | 2020-10-13 |
| 1588272884 | Millcreek Manor | Pharmacy | 5535 Peach St, Erie, PA 16509-2603 | 2020-07-22 |
| 1871110981 | Christina Schuler | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2020-07-06 |
| 1750908166 | Elizabeth Ann Johnson | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2020-07-01 |
| 1609341700 | Thomas Michael Weindorf | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2018-10-04 |
| 1245752385 | Brandon Michael Sing | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2017-07-11 |
| 1689024598 | Seth Hintze Carter | Family Medicine | 5535 Peach St, Erie, PA 16509-2603 | 2016-06-21 |
| 1114393790 | Millcreek Manor Pharmacy | Pharmacy | 5535 Peach St, Erie, PA 16509-2603 | 2015-08-18 |
| 1174936504 | Gianpiero Martone | Psychiatry & Neurology | 5535 Peach St, Erie, PA 16509-2603 | 2014-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184236762 | Cassandra Jane Mozes | Pharmacist | 135 E 38th St, Erie, PA 16504-1559 | 2020-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526649 | Lea Jean Grondziowski | Pharmacist | 1580 Mclaughlin Run Rd Ste 212, Suite 212, Pittsburgh, PA 15241 | 2020-07-29 |
| 1447805262 | Nicole Kathleen Modany | Pharmacist | 1350 Locust St Ste 1001, Pittsburgh, PA 15219-4738 | 2019-08-08 |
| 1801451489 | Amanda Martin | Pharmacist | 1110 American Pkwy Ne, Allentown, PA 18109-9117 | 2019-05-08 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1902375033 | United States Penitentiary | Pharmacist | 2400 Robert F. Miller Drive, Lewisburg, PA 17837 | 2018-11-19 |
| 1043798564 | Eric Kurt Schwedler | Pharmacist | 206 Skinner Hill Rd, Stroudsburg, PA 18360-7507 | 2018-08-06 |
| 1760973606 | Kathleen Kristen Wnuk | Pharmacist | 1039 Square Dr, Phoenixville, PA 19460-3599 | 2018-05-26 |
| 1700385861 | Robin M Guter | Pharmacist | 146 Sunset Ridge Ln, Somerset, PA 15501-6303 | 2018-02-05 |
| 1326555129 | Elizabeth Bunk | Pharmacist | 600 Forbes Avenue 215a Student Union, Pittsburgh, PA 15282-0001 | 2018-01-03 |
| 1982148573 | Kimberly Cox | Pharmacist | 440 Weaver Hill Rd, Lock Haven, PA 17745-9250 | 2016-12-15 |
| Find all providers with the same taxonomy | ||||
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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.