Active NPI
Jason Patrick Gillam, PHARMD
- Pharmacotherapy Pharmacist
- Little Rock, AR
National Provider Identifier
1033483896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- PD11058
- Practice address
- 10300 N Rodney Parham Rd
Little Rock, AR 72227-4845 - Phone
- (501) 221-8304
- Fax
- (501) 221-8303
- NPI assigned
- Feb 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PD11058 | AR | Primary |
Addresses
Primary practice location
10300 N Rodney Parham Rd
Little Rock, AR 72227-4845
Mailing address
10300 N Rodney Parham Rd
Little Rock, AR 72227-4845
Phone (501) 221-8304
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
| License | State | Type | Specialty |
|---|---|---|---|
| PD11058 | AR | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330214400000",
"number": "1033483896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 N RODNEY PARHAM RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722274845",
"telephone_number": "501-221-8304",
"fax_number": "501-221-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 N RODNEY PARHAM RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722274845",
"telephone_number": "501-221-8304",
"fax_number": "501-221-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLAM",
"first_name": "JASON",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-25",
"last_updated": "2012-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "AR",
"license": "PD11058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.