Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912824061 Individual Practitioner Male Practitioner

Jacob Ruben Deheck

Pharmacist • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Jacob Deheck is a registered healthcare professional specializing in Pharmacist in Minneapolis, MN. Practice services are available at 1221 W LAKE ST STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1221 W Lake St Ste 200

Minneapolis, MN 554083565

Telephone 6128241036
Fax 6128247862
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1497938062

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
546 Specialists

Practicing in Minneapolis, MN (4994 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

CMS Verified: 2026-06-30
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 127347

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.

Secondary Practice Locations

1585 Randolph Ave

Saint Paul, MN 551052149

Phone: 6514407701

2100 Lyndale Ave S

Minneapolis, MN 554053686

Phone: 6128727808

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1184023848

Doctor of Pharmacy (Pharm.D.)

Ted Park

Pharmacy Technician

NPI 1215616818
NPI 1730052556

Doctor of Pharmacy (Pharm.D.)

NPI 1780296889

Doctor of Pharmacy (Pharm.D.)

NPI 1861636318

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 30, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2026

Registered at 1221 W LAKE ST STE 200, MINNEAPOLIS, MN 554083565 (Tel: 6128241036)

📍
Updated Business Mailing Address June 30, 2026

Registered at 1221 W LAKE ST STE 200, MINNEAPOLIS, MN 554083565 (Tel: 6128241036)

👤
Provider Name / Credentials Updated June 30, 2026

Recorded as JACOB DEHECK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2026

Pharmacist (License #127347 in MN)

🟢
Initial NPI Registration & Enumeration June 30, 2026

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: 1912824061
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2026
Last Update: June 30, 2026
Sole Proprietor: Yes

Mailing Address

1221 W Lake St Ste 200

Minneapolis, MN 554083565

Phone: 6128241036

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.