IndividualActive
Jacob King, CPHT
NPI 1972183010 · Pharmacy Technician · White Oak, TX
Provider details
- NPI number
- 1972183010
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Credential
- CPHT
- Sex
- Male
- Sole proprietor
- No
- License
- 249572 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 W US Highway 80
White Oak, TX 75693-2006
Phone: (903) 297-9896
Street-level locationGet directions
Mailing address
2601 N Eastman Rd Apt 1400c
Longview, TX 75605-4041
Registry dates
- Enumerated
- 2021-04-13
- Last updated
- 2021-04-13
- Certified
- 2021-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.