Individual provider Active NPI

Jared Edward Nekos, PHARMD

  • Pharmacist
  • New Paltz, NY
National Provider Identifier
1275965493
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
058343 Issued in NY
Practice address
190 Main St
New Paltz, NY 12561-1211
Phone
(845) 255-0310
Fax
(845) 255-0576
NPI assigned
Jul 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 058343 NY Primary

Addresses

Primary practice location

190 Main St
New Paltz, NY 12561-1211

Mailing address

190 Main St
New Paltz, NY 12561-1211
Phone (845) 255-0310

Other practice location 1

290 Main St
Cornwall, NY 12518-1579
Phone (845) 534-4345

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

LicenseStateTypeSpecialty
058343NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pelella Apothecary Inc Current Accepting new patients
New Paltz Pharmacy Inc Current Accepting new patients

Locations

290 Main St
Cornwall, NY 12518
Phone (845) 534-4345

190 Main St
New Paltz, NY 12561
Phone (845) 255-0310

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1275965493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611211",
            "telephone_number": "845-255-0310",
            "fax_number": "845-255-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611211",
            "telephone_number": "845-255-0310",
            "fax_number": "845-255-0576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Main St",
            "address_purpose": "LOCATION",
            "city": "Cornwall",
            "state": "NY",
            "postal_code": "125181579",
            "country_code": "US",
            "telephone_number": "845-534-4345",
            "fax_number": "845-534-4048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEKOS",
        "first_name": "JARED",
        "middle_name": "EDWARD",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "058343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.