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

Dr. Jeremy Jacob, PHARMD

Individual provider Pharmacist · NPI 1184290223

Dr. Jeremy Jacob, PHARMD is a Pharmacist in Staten Island, New York. Licensed in New Jersey and New York. Registered with an NPI since 2021.

Licensed in
NJ, NY
In the registry since
2021
Specialties on file
2
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

79 Duer Ave
Staten Island, NY 10305-4605
Phone: (347) 552-0982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 065069 (NY)
Pharmacist Taxonomy 183500000X · Licence 28RI03973600 (NJ)

Record details

NPI number1184290223
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMay 30, 2021
Last updated in NPPESMay 30, 2021
Certification dateMay 30, 2021

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