MEDICARE: JACOB HOWARD JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	76963	TX

General Provider Information

NPI Number	:	1003751926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB HOWARD JONES

Provider Business Mailing Address
First Line	:	401 W 25TH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-4611
Country	:	US
Telephone Number	:	409-626-2139
Fax Number	:	409-626-2139

Provider Business Practice Location Address
First Line	:	8413 STELLA LINK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-2915
Country	:	US
Telephone Number	:	713-666-8057
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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