MRS. SUSAN JACOB (NPI# 1487991246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487991246 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN JACOB |
| Practice Address |
5473 Nw Saint James Dr Port Saint Lucie FL 34983-3444 |
| Practice Telephone | 7728781526 |
| Practice Fax Number | 7728785446 |
| Mailing Telephone | 7728781526 |
| Mailing Fax Number | 7728785446 |
| Enumeration Date | 2013-01-12 |
| Last Update Date | 2013-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS47566 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821468257 | Susan Jacob | Nurse Practitioner | 212 Angela Ln, Stafford, TX 77477 | 2015-09-28 |
| 1699865881 | Susan C Jacob | Allergy & Immunology | 801 Alma St, Tomball, TX 77375 | 2006-10-16 |
| 1245246503 | Susan M. Jacob | Counselor | 1101 Dove St, Suite 160, Newport Beach, CA 92660-2839 | 2006-07-31 |
| 1356964431 | Susan Jacob | Student in an Organized Health Care Education/Training Program | 3459 5th Ave Ste 9, Pittsburgh, PA 15213-3236 | 2020-05-22 |
| 1306315130 | Susan Jacob | Nurse Practitioner | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2018-11-22 |
| 1801134390 | Susan Biji Jacob | Nurse Practitioner | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2013-01-18 |
| 1467675819 | Susan Vivian Jacob | Psychologist | 14 Vanderventer Ave, Port Washington, NY 11050-3737 | 2007-04-11 |
| 1568685436 | Susan Jacob | Nurse Practitioner | 710 W 168th Street, New York, NY 10032-2699 | 2007-04-10 |
| 1538207220 | Susan Jacob | Family Medicine | 231 Albert Sabin Way, Cincinnati, OH 45267-2827 | 2007-02-02 |
| 1508951872 | Susan Jacob | Family Medicine | 55 Brendon Way, Suite 100, Zionsville, IN 46077-1955 | 2006-10-04 |
| Street Address |
5473 NW SAINT JAMES DR |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34983-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356884282 | Justine Flores Martinez | Pharmacist | 5473 Nw Saint James Dr, Port Saint Lucie, FL 34983-3444 | 2016-11-26 |
| 1053711093 | Michelle Marcantonio | Pharmacist | 5473 Nw Saint James Dr, Port Saint Lucie, FL 34983-3444 | 2014-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588224109 | Skytop Transportation Inc | Non-emergency Medical Transport (VAN) | 6947 Nw Daffodil Ln, Port Saint Lucie, FL 34983 | 2019-06-17 |
| 1063985125 | Ralph Glen Manning | Counselor | 289 Se Sagamore Terrace, Port Saint Lucie, FL 34983 | 2019-01-10 |
| 1275032252 | Charlotte Simpkins | Nurse's Aide | 462 Se Faith Terrace, Port Saint Lucie, FL 34983 | 2018-02-06 |
| 1124547989 | Alicia Maria Herrero Marzo | Case Manager/Care Coordinator | 749 Nw Orchid St, Port St Lucie, FL 34983 | 2017-09-13 |
| 1922535137 | Superior Living 'llc' | Assisted Living Facility | 496 Southeast Verada, Port St Lucie, FL 34983 | 2017-05-18 |
| 1760931562 | Lisa A Joseph | Registered Nurse | 1602 Se Sandia Dr, Psl, FL 34983 | 2016-09-22 |
| 1891146270 | Janet Bayramyan | Counselor | 453 Nw Dover Ct, Port St Lucie, FL 34983 | 2016-06-27 |
| 1033565650 | Jennifer J Ramos | Physician Assistant | 1581 Sw Bayshore Blvd, Port St Lucie, FL 34983 | 2016-05-12 |
| 1659741379 | Amy Mae Dipalma | Physical Therapy Assistant | 5238 Nw Rugby Dr, Port St Lucie, FL 34983 | 2015-10-07 |
| 1942682406 | Vikash Dahya | Dentist | 499 Sw Prima Vista Blvd, Port St. Lucie, FL 34983 | 2015-06-22 |
| Find all providers in zip 34983 | ||||
| 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 |
|---|---|---|---|---|
| 1356968572 | Renilde C Campos | Pharmacist | 2017 Sw Kasim Ter, Port Saint Lucie, FL 34953-2163 | 2020-07-03 |
| 1295387405 | Margarita R Parrilla | Pharmacist | 2582 Sw Fair Isle Rd, Port Saint Lucie, FL 34987-2092 | 2019-07-09 |
| 1740657071 | Christopher John Antonini | Pharmacist | 107 Se San Fratello, Port Saint Lucie, FL 34984-6648 | 2015-08-21 |
| 1346587490 | Jaclyn Pereda-rubio | Pharmacist | 5473 Ne Saint James Dr, Port Saint Lucie, FL 34983-3444 | 2013-01-09 |
| 1578811212 | Kenny Romuald Aristide | Pharmacist | 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 | 2012-08-28 |
| 1306129861 | Sharon Jefferson Butts | Pharmacist | 1661 Nw St Lucie Blvd, Port Saint Lucie, FL 34986-2106 | 2011-09-21 |
| 1013296110 | Karen Lee Harris | Pharmacist | 11995 Sw Elsinore Dr, Port Saint Lucie, FL 34987-1907 | 2011-08-08 |
| 1275764573 | Patricia M Snyder | Pharmacist | 4232 Sw Earnest St, Port Saint Lucie, FL 34953-6551 | 2009-08-04 |
| 1942489877 | William Campos Sr. | Pharmacist | 10400 S Federal Hwy, Port Saint Lucie, FL 34952-5600 | 2007-10-27 |
| 1619169000 | Mihir Bipinchandra Patel | Pharmacist | 2026 Sw Providence Pl, Port Saint Lucie, FL 34953-4385 | 2007-08-09 |
| Find all providers in PORT SAINT LUCIE | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34983 |
Please comment or provide details below to improve the information on MRS. SUSAN JACOB.
| 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.