JACOB RUBEN DEHECK - NPI 1912824061 - Pharmacist in Minneapolis, MN

Q: What is Jacob Deheck's NPI number?

The NPI number for Jacob Deheck is 1912824061. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Q: What is Jacob Deheck's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Deheck was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jacob Ruben Deheck NPPES

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

JACOB RUBEN DEHECK (NPI 1912824061) is an individual pharmacist in Minneapolis, Minnesota, licensed in Minnesota (127347) and active in the NPI registry since June 2026. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912824061

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameJACOB RUBEN DEHECK

Location Address1221 W LAKE ST STE 200Minneapolis, MN 55408-3565

Mailing Address1221 W Lake St Ste 200Minneapolis, MN 55408-3565 · (612) 824-1036 · Fax (612) 824-7862

Phone(612) 824-1036

Fax(612) 824-7862

Sole ProprietorYes

Enumeration DateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1912824061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in MN · 127347

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.

1221 W LAKE ST STE 200, Minneapolis, MN 55408

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Secondary Practice Locations 2

Location 11585 Randolph AveSaint Paul, MN 55105-2149 · Phone (651) 440-7701

Location 22100 Lyndale Ave SMinneapolis, MN 55405-3686 · Phone (612) 872-7808

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

JAMIE SWANSON PHARMD

Pharmacist