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

Jacob Scivally

Individual provider Pharmacy Technician · NPI 1316714926

Jacob Scivally is a Pharmacy Technician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023

Practice location Address checks out

301 N Washington Ave
Dallas, TX 75246-1754
Phone: (254) 202-1272
Fax: (469) 800-8335
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy Technician (primary) Taxonomy 183700000X · Licence 200639 (TX)

Record details

NPI number1316714926
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 5, 2023
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023
Mailing address1400 Andrews Pkwy Apt 2124, Allen, TX 75002-2961

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