Individual provider Active NPI

Gary Stephen Jared Sr., RPH

  • Pharmacist
  • Rocky Mount, NC
National Provider Identifier
1073542957
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9872 Issued in NC
Practice address
329 N Fairview Rd
Rocky Mount, NC 27801
Phone
(252) 442-8159
Fax
(252) 442-0332
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9872 NC Primary

Addresses

Primary practice location

329 N Fairview Rd
Rocky Mount, NC 27801

Mailing address

3504 Sheffield Dr
Rocky Mount, NC 27803
Phone (252) 937-5055

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
9872NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Pharmacy Inc PastSince Nov 24, 2019 Accepting new patients
Oakwood Pharmacy Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073542957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 SHEFFIELD DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27803",
            "telephone_number": "252-937-5055",
            "fax_number": "252-442-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N FAIRVIEW RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27801",
            "telephone_number": "252-442-8159",
            "fax_number": "252-442-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARED",
        "first_name": "GARY",
        "middle_name": "STEPHEN",
        "name_suffix": "Sr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "9872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.