Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Street, PHARMD

Individual provider Pharmacist · NPI 1699401877

Dr. Jacob Street, PHARMD is a Pharmacist in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2022.

Licensed in
TN
In the registry since
2022
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

2240 N Roan St
Johnson City, TN 37601-2521
Phone: (423) 283-4942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 46488 (TN)

Record details

NPI number1699401877
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJuly 28, 2022
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address2240 N Roan St, Johnson City, TN 37601-2521

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