1. Home
  2. Directory
  3. New York
  4. Queens
  5. Pharmacist
  6. NPI Profile

DR. KEZIAH ELSA JACOB PHARM.D
NPI 1922768290
Pharmacist in Queens, NY

Active since December 28, 2021
53-11 ROOSEVELT AVE, QUEENS, NY 11377(718) 255-6355 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 24, 2023, Dec 28, 2021 (2 updates tracked since 2021).

About Dr. Keziah Elsa Jacob Pharm.d NPPES

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

DR. KEZIAH ELSA JACOB PHARM.D (NPI 1922768290) is an individual pharmacist in Queens, New York, licensed in New York (068595) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1922768290
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. KEZIAH ELSA JACOBCredential: PHARM.D
Location Address53-11 ROOSEVELT AVEQueens, NY 11377
Mailing Address5311 Roosevelt AveWoodside, NY 11377-4238 · (516) 233-9467
Phone(718) 255-6355
Sole ProprietorNo
Enumeration DateDecember 28, 2021
Last NPPES UpdateJanuary 24, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
✔ NPI 1922768290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · 068595
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.
53-11 ROOSEVELT AVE, Queens, NY 11377
Open in Google Maps ↗

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 Keziah Jacob's NPI number?

The NPI number for Keziah Jacob is 1922768290. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Keziah Jacob located?

Keziah Jacob practices at 53-11 Roosevelt Ave, Queens, NY 11377. The listed phone number is (718) 255-6355.

What is Keziah 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 Keziah Jacob was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.