JACOB LATHAM (NPI# 1760012231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760012231 |
| Entity Type | Individual |
| Full Name | JACOB LATHAM |
| Credential | PHARMD |
| Practice Address |
5454 Hohman Ave Hammond IN 46320-1931 |
| Practice Telephone | 2198521521 |
| Mailing Telephone | 2198521521 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26025570A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235371717 | Jacob Isaac Latham | Counselor | 10710 Old Highway 64, Bolivar, TN 38008-3587 | 2009-03-31 |
| Street Address |
5454 HOHMAN AVE |
| City | HAMMOND |
| State | IN |
| Zip Code | 46320-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225491 | Franciscan Health Dyer & Hammond | Home Health | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2005-06-14 |
| 1518587310 | Kristen Brady | Pharmacist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-04-21 |
| 1932738093 | Oluwayomi Olalekan Omosebi | Physical Therapist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-04-02 |
| 1861033060 | Erica Lynn Deenihan | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-09-30 |
| 1568015394 | Danielle Rose Balzano | Registered Nurse | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-07-21 |
| 1386104826 | Daniela Lazarevic | Student in an Organized Health Care Education/Training Program | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-03-21 |
| 1629533872 | Thomas Blodgett | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-02-01 |
| 1073086252 | Scott T Fairhurst | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-01-10 |
| 1053848622 | Eshwar Nagraj Murthy | Hospitalist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2017-05-15 |
| 1598110876 | Jonathon Zinkel | Emergency Medicine | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2016-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
| 1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
| 1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
| 1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
| 1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
| 1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
| 1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
| 1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| Find all providers in zip 46320 | ||||
| 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 |
|---|---|---|---|---|
| 1255815130 | Jimmy Taylor II | Pharmacist | 15794 Medical Arts Dr, Hammond, LA 70403-1446 | 2018-09-18 |
| 1750827481 | Katerra Williams | Pharmacist | 607 Campo St, Hammond, LA 70401-1909 | 2017-01-19 |
| 1750747630 | Kenneth Duracher | Pharmacist | 1322 W Thomas St, Hammond, LA 70401-3046 | 2016-01-08 |
| 1104256650 | Jennifer Santangelo Ricard | Pharmacist | 42242 Veterans Ave., Hammond, LA 70403 | 2013-11-20 |
| 1538403886 | Thomas C Oglesbee | Pharmacist | 52 Pine Ln, Hammond, LA 70401-8277 | 2012-11-26 |
| 1306138656 | Henry Louis Faust Iv | Pharmacist | 1918 Hammond Square Dr, Hammond, LA 70403-6155 | 2011-05-04 |
| 1174838957 | Elise Crovetto | Pharmacist | 1801 Southwest Railroad Ave, Hammond, LA 70403 | 2010-08-17 |
| 1447408612 | Karla M Broussard | Pharmacist | 701 Pride Dr, Hammond, LA 70401-9526 | 2008-08-29 |
| 1285796722 | Alonzo Benjamin Mendoza | Pharmacist | 6510 S Columbia Ave, Hammond, IN 46320-2748 | 2006-12-14 |
| 1497844716 | Pamela Denise White | Pharmacist | 1131 South Morrison Avenue, Hammond, LA 70403 | 2006-10-12 |
| Find all providers in HAMMOND | ||||
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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.