Mini Jacob
Pharmacist
11910 Liberty Ave, South Richmond Hill
New York, 11419-2002
718-835-2542 718-641-3044
Mini Jacob is a pharmacist in South Richmond Hill, New York. Patients can reach her at 11910 Liberty Ave, South Richmond Hill or contact her on 718-835-2542. Active license number of Mini Jacob is 045036-1 for Pharmacist in New York.
Mini Jacob is 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.
Complete Profile:
Mini Jacob speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Mini Jacob |
| Specialization: | Pharmacist |
| Credentials: | RPH |
| Gender: | Female |
| Location: | 11910 Liberty Ave, South Richmond Hill,
New York, 11419-2002 |
| Phone: | 718-835-2542 |
| Fax: | 718-641-3044 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mini Jacob are as mentioned below.
| NPI Number: | 1841473220 |
| NPI Enumeration Date: | 09 Dec, 2007 |
| NPI Last Update On: | 15 Mar, 2023 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mini Jacob are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 045036-1 | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mini Jacob such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00270439 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11910 Liberty Ave,
South Richmond Hill, New York |
| Zip: | 11419-2002 |
| Phone Number: | 917-848-8439 |
Patients can reach Mini Jacob at
11910 Liberty Ave, South Richmond Hill, New York or can
call on phone at 718-835-2542.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.