Jared Walter Daley, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-101988 Issued in MS

Practice address

1417 E Pass Rd
Gulfport, MS 39507-3522

Phone

(228) 896-3870

NPI assigned

Aug 4, 2025

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

Locations

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.

• Walgreen Co

  • Pharmacy
  • Gulfport, MS
  • NPI 1295740454
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1033093075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 TANNER PL",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395077000",
            "telephone_number": "601-916-4197",
            "fax_number": "601-916-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 E PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073522",
            "telephone_number": "228-896-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "JARED",
        "middle_name": "WALTER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-101988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyril VK Bethala, MD, PA
• Michael Czaska
• D Balder MD PLLC
• D Balder MD, PLLC
• Donielle A Daigle, M.D.
• Breanne Dalton, M.S.,SLP
• Terry Dalton
• Stephanie M Damitio, C.R.N.A
• Anne Duy Dang-Vo
• Denisha Daniels

• Pharmacist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.