Active NPI
Jaron Andrew Stout, PHARMD
- Geriatric Pharmacist
- Logan, UT
National Provider Identifier
1164912374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 6947461-1701
- Practice address
- 1015 E 100 N
Logan, UT 84321-4873 - Phone
- (888) 853-8973
- Fax
- (888) 959-9385
- NPI assigned
- May 14, 2018
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 6947461-1701 | UT | Primary |
Addresses
Primary practice location
1015 E 100 N
Logan, UT 84321-4873
Mailing address
PO Box 239
Rupert, ID 83350-0239
Phone (888) 221-0423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6947461-1701 | Other | UT | STATE OF UTAH 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6947461-1701 | UT | MD | Geriatric Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge Utah Medical Group | Past | Accepting new patients | |
| Lepont Utah Medical Group | 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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Logan, UT
- NPI 1104324904
-
- Physical Medicine & Rehabilitation Physician
- Logan, UT
- NPI 1417465014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1164912374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 239",
"city": "RUPERT",
"state": "ID",
"postal_code": "833500239",
"telephone_number": "888-221-0423",
"fax_number": "888-271-9816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 E 100 N",
"city": "LOGAN",
"state": "UT",
"postal_code": "843214873",
"telephone_number": "888-853-8973",
"fax_number": "888-959-9385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "JARON",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-14",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "UT",
"license": "6947461-1701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF UTAH PHARMACIST LICENSE",
"identifier": "6947461-1701",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.