Jacob Avery Koontz, - Pharmacist in Kerman, CA

Jacob Avery Koontz, is a Pharmacist based in Kerman, California. Jacob Avery Koontz is licensed to practice in California (license number 69055) and his current practice location is 456 S Madera Ave, Kerman, California. He can be reached at his office (for appointments etc.) via phone at (559) 846-7115.

NPI number for Jacob Avery Koontz is 1831503002 and his current mailing address is 8151 N Cedar Ave Apt 108, Fresno, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831503002.

Contact Information

Jacob Avery Koontz,
456 S Madera Ave,
Kerman, CA 93630-1538
(559) 846-7115
(559) 846-9756

Healthcare Provider's Profile

Full NameJacob Avery Koontz
GenderMale
SpecialityPharmacist
Location456 S Madera Ave, Kerman, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1831503002
  • Provider Enumeration Date: 06/16/2014
  • Last Update Date: 06/16/2014

Medical Identifiers

Medical identifiers for Jacob Avery Koontz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831503002NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 69055 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Avery Koontz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Avery Koontz,
8151 N Cedar Ave Apt 108,
Fresno, CA 93720-2285

Ph: (412) 651-8336
Jacob Avery Koontz,
456 S Madera Ave,
Kerman, CA 93630-1538

Ph: (559) 846-7115

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› Verified 2 days ago


Pharmacist in Kerman, CA

Dat Nguyen, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 14061 W Whitesbridge Ave, Kerman, CA 93630
Phone: 559-846-1200    
Na Young Lee,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 14967 W Whitesbridge Ave, Kerman, CA 93630
Phone: 559-842-0030    
Dennis Elek, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 456 S Madera Ave, Kerman, CA 93630
Phone: 559-846-7115    Fax: 559-846-9756
Daniel Emenike Ogbuehi, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 456 S Madera Ave, Kerman, CA 93630
Phone: 559-846-7115    
Natalie Ng,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 456 S Madera Ave, Kerman, CA 93630
Phone: 559-846-7115    Fax: 559-846-9756
Dr. Tony Nguyen, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 14061 W Whitesbridge Ave, Kerman, CA 93630
Phone: 559-846-1209    
Nekeitha Lyn Mccauley, PHARM D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 456 S Madera Ave, Kerman, CA 93630
Phone: 559-846-7115    

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