Jared Labuda, PHARM-D
Individual provider Active NPI Pharmacist · Claypool, AZ
NPI 1245643196 · NPPES record last updated Jun 9, 2014
Key facts
- NPI
- 1245643196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- S019205 (AZ)
- Practice address
- 100 South Ragus Road
Claypool, AZ 85532-1450 - Phone
- (928) 425-7661
- Fax
- (928) 425-0708
- NPI assigned
- Jun 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S019205 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S019205 | AZ | Yes |
Addresses
Primary practice location
100 South Ragus Road
Claypool, AZ 85532-1450
Mailing address
PO Box 1450
Claypool, AZ 85532-1450
Phone (928) 425-7661
Other providers in Claypool, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2014. 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.