Robert Jarecki, PHARMACIST
Individual provider Active NPI Pharmacist · Washington, UT
NPI 1235791971 · NPPES record last updated Jul 2, 2019
Key facts
- NPI
- 1235791971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7598176-1701 (UT)
- Practice address
- 625 W Telegraph St
Washington, UT 84780-1541 - Phone
- (435) 628-2824
- NPI assigned
- Jul 2, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S023262 | AZ | MD | Pharmacist |
| 7598176-1701 | UT | MD | Pharmacist |
| 11118-40 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11118-40 | WI | |
| Pharmacist | 183500000X | S023262 | AZ | |
| Pharmacist | 183500000X | 19894 | NV | |
| Pharmacist | 183500000X | 7598176-1701 | UT | Yes |
Addresses
Primary practice location
625 W Telegraph St
Washington, UT 84780-1541
Mailing address
1983 Centennial Dr
St George, UT 84770-4791
Phone (920) 285-0773
Other providers in Washington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.