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DR. JACOB STREET PHARMD
NPI 1699401877
Pharmacist in Johnson City, TN

Active since July 28, 2022
2240 N ROAN ST, JOHNSON CITY, TN 37601(423) 283-4942 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob Street Pharmd NPPES

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

DR. JACOB STREET PHARMD (NPI 1699401877) is an individual pharmacist in Johnson City, Tennessee, licensed in Tennessee (46488) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1699401877
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JACOB STREETCredential: PHARMD
Location Address2240 N ROAN STJohnson City, TN 37601-2521
Mailing Address2240 N Roan StJohnson City, TN 37601-2521 · (423) 283-4942
Phone(423) 283-4942
Sole ProprietorNo
Enumeration DateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
✔ NPI 1699401877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TN · 46488
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.
2240 N ROAN ST, Johnson City, TN 37601
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALGREEN CO
Pharmacy
2240 N ROAN ST
JOHNSON CITY, TN 37601
Washington County (423) 283-4942
VICTORIA OLA
Pharmacist
2240 N ROAN ST
JOHNSON CITY, TN 37601
Washington County (615) 598-2038
CHARLES LOUIS BLAZEK II PHARM.D.
Pharmacist
2240 N ROAN ST
JOHNSON CITY, TN 37601
Washington County (423) 283-4942
DR. CHRISTY RAYNE BEANE PHARM.D.
Pharmacist
2240 N ROAN ST
JOHNSON CITY, TN 37601
Washington County (423) 283-4942
MARY KATHERINE SHEPHERD PHARMD
Pharmacist
2240 N ROAN ST
JOHNSON CITY, TN 37601
Washington County (423) 283-4942
DR. TIMOTHY LONDON ARCHIBALD PHARMD
Pharmacist
2240 N ROAN ST
JOHNSON CITY, TN 37601
Washington County (423) 283-4942
DR. SHANNON BEMISS PHARMD
Pharmacist
2240 N ROAN ST
JOHNSON CITY, TN 37601
Washington County (423) 283-4942
PAUL MARK COOK
Pharmacist
2240 N ROAN ST
JOHNSON CITY, TN 37601
Washington County (423) 283-4942

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 Jacob Street's NPI number?

The NPI number for Jacob Street is 1699401877. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Jacob Street located?

Jacob Street practices at 2240 N Roan St, Johnson City, TN 37601. The listed phone number is (423) 283-4942.

What is Jacob Street'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 Jacob Street was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.