Jacob Dale Maready, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26085 Issued in NC

Practice address

701 Doctors Dr Ste P
Kinston, NC 28501-1584

Phone

(252) 523-3187

Fax

(252) 522-2988

NPI assigned

Nov 7, 2012

Last updated

Oct 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dempsey's Long Term Care, LLC

  • Long Term Care Pharmacy
  • Kinston, NC
  • NPI 1962823039
  NPD (past)
• Kinston Clinic Pharmacy Inc

  dba Dempsey's Drugs La Grange

  • Pharmacy
  • La Grange, NC
  • NPI 1114395514
  NPD (past)
• Kinston Clinic Pharmacy Inc.

  • Pharmacy
  • Kinston, NC
  • NPI 1619060555
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1003160425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR STE P",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011584",
            "telephone_number": "252-523-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DOCTORS DR STE P",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011584",
            "telephone_number": "252-523-3187",
            "fax_number": "252-522-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 N Herritage St",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285012223",
            "country_code": "US",
            "telephone_number": "252-522-4902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 E Washington St",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "NC",
            "postal_code": "285519214",
            "country_code": "US",
            "telephone_number": "252-582-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAREADY",
        "first_name": "JACOB",
        "middle_name": "DALE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-07",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "26085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macbill,Inc (Harleemac Group Home)
• Mainstreet and Kidsstreet of North Carolina PLLC (MainStreet Family Care)
• Mainstreet and Kidsstreet of North Carolina PLLC (MainStreet Family Care)
• Manuel's Supportive Living Services
• Manuels Express Transportation, LLC
• John Marks
• Brittany Marr, LCSWA
• Stephen Marshall
• Michael Martin, FNP-C
• Emilio Naval Marty, DMD

• Pharmacist in Kinston, NC
• Providers in Kinston, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.