Individual provider Active NPI

Jacob Randall Pillion, PHARMD

  • Pharmacist
  • Garner, NC
National Provider Identifier
1013699677
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
32453 Issued in NC
Practice address
1116 US 70 Hwy W
Garner, NC 27529-2546
Phone
(919) 227-3917
NPI assigned
Aug 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 32453 NC Primary

Addresses

Primary practice location

1116 US 70 Hwy W
Garner, NC 27529-2546

Mailing address

3938 Amelia Park Dr
Raleigh, NC 27606-7406
Phone (336) 328-5660

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
32453NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Aug 6, 2023 Accepting new patients
Walgreen Co PastSince Aug 6, 2023 Accepting new patients

Locations

1116 US 70 Hwy W
Garner, NC 27529
Phone (919) 227-3917

Organizations & group practices 2

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1013699677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 AMELIA PARK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276067406",
            "telephone_number": "336-328-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 US 70 HWY W",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292546",
            "telephone_number": "919-227-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLION",
        "first_name": "JACOB",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "32453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.