Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225252810 Individual Practitioner Male Practitioner

Dr. Kenneth Allen Jacobs , PharmD

Pharmacist • Detroit, MI

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Jacobs, PharmD is a registered healthcare professional specializing in Pharmacist in Detroit, MI. Practice services are available at 18500 GRAND RIVER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18500 Grand River Ave

Detroit, MI 482232319

Telephone 3132725256
Fax 3132729780
Associated Practice Facility / Clinic
🏢 Woodward Detroit Cvs, L.l.c. Facility NPI 1063524924

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Detroit, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
483 Specialists

Practicing in Detroit, MI (8602 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302024203

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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacy License Number
5302024203 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1013548627
NPI 1427689942
Issa Harmouch

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1447940283
Rajiv Thaker

Pharmacist

NPI 1588295562
NPI 1932730637

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2013

Registered at 18500 GRAND RIVER AVE, DETROIT, MI 482232319 (Tel: 3132725256)

📍
Updated Business Mailing Address October 02, 2013

Registered at 7517 DANBURY DR, WEST BLOOMFIELD, MI 483223564 (Tel: 2488950216)

👤
Provider Name / Credentials Updated October 02, 2013

Recorded as KENNETH JACOBS, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2013

Pharmacist (License #5302024203 in MI)

🟢
Initial NPI Registration & Enumeration April 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225252810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2007
Last Update: October 02, 2013
Sole Proprietor: No

Mailing Address

7517 Danbury Dr

West Bloomfield, MI 483223564

Phone: 2488950216

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.