Jarrett Edison, PHARMD
Individual provider Active NPI Pharmacist · Jones, OK
NPI 1295396554 · NPPES record last updated Feb 5, 2022
Key facts
- NPI
- 1295396554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16972 (OK)
- Practice address
- 101 W Main St
Jones, OK 73049-7586 - Phone
- (316) 200-0818
- NPI assigned
- Jun 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 16972 | OK | MD | Community/Retail Pharmacy |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 16972 | OK | |
| Pharmacist | 183500000X | 16972 | OK | Yes |
Addresses
Primary practice location
101 W Main St
Jones, OK 73049-7586
Mailing address
10050 E Covell Rd
Arcadia, OK 73007
Other providers in Jones, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2022. 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.