Jared Guevara Gonzales, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S021551 Issued in AZ

Practice address

18680 S Nogales Hwy
Sahuarita, AZ 85629

Phone

(520) 625-3824

Fax

(520) 625-3918

NPI assigned

Sep 25, 2015

Last updated

Sep 25, 2015By the provider in NPPES

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

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

• Walmart Inc.

  • Community/Retail Pharmacy
  • Sahuarita, AZ
  • NPI 1407874837
  NPD (past)

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1043680614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 W CALLE GUADALAJARA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135669",
            "telephone_number": "623-826-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18680 S NOGALES HWY",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "85629",
            "telephone_number": "520-625-3824",
            "fax_number": "520-625-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "JARED",
        "middle_name": "GUEVARA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S021551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Freeland
• Jeanette Gallus, LPC
• Dianela Garcia
• Evelyn Garcia, LPC
• Rebecca Garner, FNTP
• April Denise Gonzalez
• Brenda Gonzalez, APRN
• Marissa Gonzalez, ARNP
• Green Valley Fire District
• Janet Hackley, PH.D.

• Pharmacist in Sahuarita, AZ
• Providers in Sahuarita, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.