Active NPI
Jered Michael Arquiette
- Pharmacist
- French Camp, CA
National Provider Identifier
1194035535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61877
- Practice address
- 500 W. Hospital Rd.
French Camp, CA 95231-8898 - Phone
- (209) 468-6000
- Fax
- (209) 468-7042
- NPI assigned
- Oct 19, 2010
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61877 | CA | Primary |
Addresses
Primary practice location
500 W. Hospital Rd.
French Camp, CA 95231-8898
Mailing address
P.O. Box 1020
Stockton, CA 95201-1020
Phone (209) 468-6000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61877 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1194035535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1020",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952011020",
"telephone_number": "209-468-6000",
"fax_number": "209-468-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W. HOSPITAL RD.",
"city": "FRENCH CAMP",
"state": "CA",
"postal_code": "952318898",
"telephone_number": "209-468-6000",
"fax_number": "209-468-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARQUIETTE",
"first_name": "JERED",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-19",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in French Camp, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.