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

Mr. Michael Ivan Jacoby

Individual provider Pharmacist · NPI 1548553167

Mr. Michael Ivan Jacoby is a Pharmacist in Dalton, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011

Practice location Address checks out

192 Locust Ln
Dalton, PA 18414-9557
Phone: (570) 563-3304
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP-042563-L (PA)

Record details

NPI number1548553167
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2011
Last updated in NPPESMay 16, 2011
Mailing address192 Locust Ln, Dalton, PA 18414-9557

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