DR. JEREMY JACOB PHARMD
NPI 1184290223
Pharmacist in Staten Island, NY

Active since May 30, 2021
79 DUER AVE, STATEN ISLAND, NY 10305(347) 552-0982 Get Directions Write a Review

NPPES record last updated: May 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeremy Jacob Pharmd NPPES

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

DR. JEREMY JACOB PHARMD (NPI 1184290223) is an individual pharmacist in Staten Island, New York, licensed in New York (065069) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1184290223
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JEREMY JACOBCredential: PHARMD
Location Address79 DUER AVEStaten Island, NY 10305-4605
Mailing Address79 Duer AveStaten Island, NY 10305-4605 · (347) 552-0982
Sole ProprietorNo
Enumeration DateMay 30, 2021
NPPES CertifiedMay 30, 2021
NPI 1184290223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in NY · 065069 Licensed in NJ · 28RI03973600
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.
79 DUER AVE, Staten Island, NY 10305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Jacob's NPI number?

The NPI number for Jeremy Jacob is 1184290223. It was assigned to this individual provider in the NPPES registry on May 30, 2021.

Where is Jeremy Jacob located?

Jeremy Jacob practices at 79 Duer Ave, Staten Island, NY 10305. The listed phone number is (347) 552-0982.

What is Jeremy Jacob's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jeremy Jacob was last updated on May 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.