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JACOB AVERY KOONTZ
NPI 1831503002
Pharmacist in Kerman, CA

Active since June 16, 2014
456 S MADERA AVE, KERMAN, CA 93630(559) 846-7115(559) 846-9756 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jacob Avery Koontz NPPES

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

JACOB AVERY KOONTZ (NPI 1831503002) is an individual pharmacist in Kerman, California, licensed in California (69055) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1831503002
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJACOB AVERY KOONTZ
Location Address456 S MADERA AVEKerman, CA 93630-1538
Mailing Address8151 N Cedar Ave Apt 108Fresno, CA 93720-2285 · (412) 651-8336
Phone(559) 846-7115
Fax(559) 846-9756
Sole ProprietorNo
Enumeration DateJune 16, 2014
✔ NPI 1831503002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 69055
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.
456 S MADERA AVE, Kerman, CA 93630
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Other Providers at the Same Location NPPES 8

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

DENNIS ELEK RPH
Pharmacist
456 S MADERA AVE
KERMAN, CA 93630
Fresno County (559) 846-7115
DANIEL EMENIKE OGBUEHI RPH
Pharmacist
456 S MADERA AVE
KERMAN, CA 93630
Fresno County (559) 846-7115
NATALIE NG
Pharmacist
456 S MADERA AVE
KERMAN, CA 93630
Fresno County (559) 846-7115
NEKEITHA LYN MCCAULEY PHARM D.
Pharmacist
456 S MADERA AVE
KERMAN, CA 93630
Fresno County (559) 846-7115
ELISA CHAVEZ VASQUEZ
Pharmacy Technician
456 S MADERA AVE
KERMAN, CA 93630
Fresno County (559) 846-7115
KIKELOMO RAYKIAT TAIRU-MACK
Pharmacist
456 S MADERA AVE
KERMAN, CA 93630
Fresno County (559) 846-7115
PATRICK PHAM
Pharmacist
456 S MADERA AVE
KERMAN, CA 93630
Fresno County (559) 846-7115
RICHARD BLUANU YANG
Pharmacist
456 S MADERA AVE
KERMAN, CA 93630
Fresno County (559) 846-7115

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 Koontz's NPI number?

The NPI number for Jacob Koontz is 1831503002. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is Jacob Koontz located?

Jacob Koontz practices at 456 S Madera Ave, Kerman, CA 93630. The listed phone number is (559) 846-7115.

What is Jacob Koontz'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 Koontz was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.