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

Mr. Mark R Jacobs, RPH

Individual provider Pharmacist · NPI 1457481400

Mr. Mark R Jacobs, RPH is a Pharmacist in Beloit, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

2761 Prairie Ave
Beloit, WI 53511-2246
Phone: (608) 365-4418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 11075 (WI)

Record details

NPI number1457481400
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2761 Prairie Ave, Beloit, WI 53511-2246

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