Jairus Matthew McBride, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

123759 Issued in MN

Practice address

410 S Riverfront Dr
Mankato, MN 56001-3773

Phone

(507) 345-5091

Fax

(507) 625-4735

NPI assigned

Nov 14, 2020

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

Other names 1

• Jairus Matthew Hovey-McBride Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1013519982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 SHERWOOD DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560032824",
            "telephone_number": "605-651-6117",
            "fax_number": "507-625-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S RIVERFRONT DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013773",
            "telephone_number": "507-345-5091",
            "fax_number": "507-625-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JAIRUS",
        "middle_name": "MATTHEW",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "123759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIRUS",
            "last_name": "HOVEY-MCBRIDE",
            "middle_name": "MATTHEW",
            "credential": "PHARM.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mayo Clinic Health System-Southwest Minnesota Region
• Mayo Clinic Health System-Southwest Minnesota Region
• Mayo Foundation for Medical Education & Research
• Jessica Lynn Mazuryk, DPT
• Divine Kapinga Mbuyi
• Halle Mae McCabe
• John C McCabe, MD
• Jonathan Colin McCabe, MD, DMD
• Rebecca E McCabe, MS, LPCC
• Charles Victorino McCahery, MD

• Pharmacist in Mankato, MN
• Providers in Mankato, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; 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.