MR. RANDALL CHARLES JACOB
NPI 1083914691
Pharmacist in Picayune, MS

Active since October 29, 2010
1505 HIGHWAY 43 S, PICAYUNE, MS 39466(601) 889-9509 Get Directions Write a Review

NPPES record last updated: October 29, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Randall Charles Jacob NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RANDALL CHARLES JACOB (NPI 1083914691) is an individual pharmacist in Picayune, Mississippi, licensed in Louisiana (13751) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1083914691
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. RANDALL CHARLES JACOB
Location Address1505 HIGHWAY 43 SPicayune, MS 39466-9297
Mailing Address1505 Highway 43 SPicayune, MS 39466-9297 · (601) 889-9509
Sole ProprietorNo
Enumeration DateOctober 29, 2010
NPI 1083914691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in LA · 13751
Definition

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.

1505 HIGHWAY 43 S, Picayune, MS 39466

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pharmacist
1505 HIGHWAY 43 S
PICAYUNE, MS 39466
Pharmacist
1505 HIGHWAY 43 S
PICAYUNE, MS 39466
Pharmacist
1505 HIGHWAY 43 S
PICAYUNE, MS 39466
Pharmacy
1505 HIGHWAY 43 S
PICAYUNE, MS 39466

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083914691, enumerated as an "individual" on October 29, 2010.

The provider is located at 1505 HIGHWAY 43 S PICAYUNE, MS 39466 and the phone number is (601) 889-9509.

Pharmacist with taxonomy code 183500000X.