Individual provider · Type 1 NPI
Keziah Elsa Jacob, PharmD
Pharmacist · Queens, NY
Practice location
53-11 Roosevelt Ave
Queens, NY 11377
Mailing address
5311 Roosevelt Ave
Woodside, NY 11377-4238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 068595 (NY) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1922768290
Keziah Elsa Jacob, PharmD's National Provider Identifier is 1922768290, issued on Dec 28, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Queens, NY. The record was last updated on Jan 24, 2023.