Individual provider Active NPI

Jason McComb, PHARMD

  • Pharmacist
  • Reno, NV
National Provider Identifier
1013460302
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17364 Issued in NV
Practice address
9738 S Virginia St
Ste F
Reno, NV 89511-5930
Phone
(775) 853-3502
Fax
(775) 236-5771
NPI assigned
Aug 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17364 NV Primary
Geriatric Pharmacist 1835G0303X 17364 NV

Addresses

Primary practice location

9738 S Virginia St
Ste F
Reno, NV 89511-5930

Mailing address

9738 S Virginia St
Ste F
Reno, NV 89511-5930
Phone (775) 853-3502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
17364NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Specialty Pharmacy LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1013460302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9738 S VIRGINIA ST",
            "address_2": "STE F",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115930",
            "telephone_number": "775-853-3502",
            "fax_number": "775-236-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9738 S VIRGINIA ST",
            "address_2": "STE F",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115930",
            "telephone_number": "775-853-3502",
            "fax_number": "775-236-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMB",
        "first_name": "JASON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "17364",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NV",
            "license": "17364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.