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

Mr. Randall Charles Jacob

Individual provider Pharmacist · NPI 1083914691

Mr. Randall Charles Jacob is a Pharmacist in Picayune, Mississippi. Licensed in Louisiana. Registered with an NPI since 2010.

Licensed in
LA
In the registry since
2010

Practice location Address checks out

1505 Highway 43 S
Picayune, MS 39466-9297
Phone: (601) 889-9509
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 13751 (LA)

Record details

NPI number1083914691
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2010
Last updated in NPPESOctober 29, 2010

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