Active NPI
Frederic Clinton Jones, RPH
- Pharmacist
- Yuma, AZ
National Provider Identifier
1144493008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 05888
- Practice address
- 8151 E 32ND St
Yuma, AZ 85365-8401 - Phone
- (928) 344-6175
- NPI assigned
- Apr 10, 2008
- Last updated
- Nov 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 05888 | AZ | Primary |
Addresses
Primary practice location
8151 E 32ND St
Yuma, AZ 85365-8401
Mailing address
12248 S Ironwood Dr
Yuma, AZ 85367-6154
Phone (928) 342-1327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05888 | Other | AZ | PHARMACIST LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05888 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart 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": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1144493008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12248 S IRONWOOD DR",
"city": "YUMA",
"state": "AZ",
"postal_code": "853676154",
"telephone_number": "928-342-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8151 E 32ND ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853658401",
"telephone_number": "928-344-6175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "FREDERIC",
"middle_name": "CLINTON",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-10",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "05888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "05888",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.