CARLA KIMBERLY JACOBSON (NPI# 1477982932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477982932 |
| Entity Type | Individual |
| Full Name | CARLA KIMBERLY JACOBSON |
| Credential | PHARM.D.,RPH |
| Practice Address |
1571 W Villard St #1 Dickinson ND 58601-4651 |
| Practice Telephone | 7012278265 |
| Mailing Telephone | 4064601880 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 18744 | MT | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 5652 | ND | Pharmacy Service Providers |
| Street Address |
1571 W VILLARD ST #1 |
| City | DICKINSON |
| State | ND |
| Zip Code | 58601-4651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194161919 | Teresa Ann Gerbig | Pharmacist | 1571 W Villard St, Suite 1, Dickinson, ND 58601-4651 | 2013-05-20 |
| 1669954665 | Ronald Davison Jr. | Pharmacist | 1571 W Villard St, Dickinson, ND 58601-4653 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171235 | Able Inc | Community/Behavioral Health | 1951 1st Street West, Dickinson, ND 58601 | 2020-10-15 |
| 1922626456 | Tess R Johnson, Pllc | Clinic/Center | 579 River Drive, Dickinson, ND 58601 | 2020-07-10 |
| 1295367449 | Winds of Change Counseling Services LLC | Psychologist | 30 7th St. W, Door A, Dickinson, ND 58601 | 2020-02-05 |
| 1588194351 | Nancy Wanner | Case Manager/Care Coordinator | 135 Sims Street, Suite 208, Dickinson, ND 58601 | 2017-06-14 |
| 1518332352 | Chi St. Joseph's Hospital | General Acute Care Hospital | 2500 Fairway St., Dickinson, ND 58601 | 2015-12-04 |
| 1205200359 | Jenna Weisz | Occupational Therapist | 870 Pheasant Run Ave, Dickinson, ND 58601 | 2015-11-29 |
| 1609243450 | Little Missouri Chiropractic, LLC | Chiropractor | 1462 1-94 Business Loop East, Dickinson, ND 58601 | 2015-08-27 |
| 1053799320 | Lisette Michaels | Speech-Language Pathologist | 683 State Ave N, Dickinson, ND 58601 | 2015-05-07 |
| 1336548221 | Neal Steiner | Pharmacist | 352c 1st St E, Dickinson, ND 58601 | 2014-08-18 |
| 1841607793 | Isaac Akinola | Pharmacist | 1681 Third Ave W., Dickinson, ND 58601 | 2014-07-11 |
| Find all providers in zip 58601 | ||||
| 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 |
|---|---|---|---|---|
| 1548611080 | Brandon Blake | Pharmacist | 2251 Fm 646 Rd W # 155a, Dickinson, TX 77539-3251 | 2016-06-27 |
| 1356715122 | Quynh Le | Pharmacist | 3014 N Meadow Ln, Dickinson, TX 77539 | 2015-11-17 |
| 1336548221 | Neal Steiner | Pharmacist | 352c 1st St E, Dickinson, ND 58601 | 2014-08-18 |
| 1841607793 | Isaac Akinola | Pharmacist | 1681 Third Ave W., Dickinson, ND 58601 | 2014-07-11 |
| 1194161919 | Teresa Ann Gerbig | Pharmacist | 1571 W Villard St, Suite 1, Dickinson, ND 58601-4651 | 2013-05-20 |
| 1821385857 | Rosemary A Yovonoo | Pharmacist | 1801 Gulf Fwy, T2320, Dickinson, TX 77539-3207 | 2011-06-28 |
| 1740519503 | Caroline Ngo | Pharmacist | 100 Fm 646, Dickinson, TX 77539 | 2009-12-08 |
| 1558690347 | Travis Benjamin Johnson | Pharmacist | 100 Fm 646 W, Dickinson, TX 77539 | 2009-12-08 |
| 1508194465 | Jacqueline Kerckhoff | Pharmacist | 100 Fm 646 West, Dickinson, TX 77539 | 2009-12-03 |
| 1710108576 | Alvin W Schwindt | Pharmacist | 1681 3rd Ave W, Dickinson, ND 58601 | 2007-05-01 |
| Find all providers in DICKINSON | ||||
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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.