Active NPI
Jarrett Edison, PHARMD
- Pharmacist
- Jones, OK
National Provider Identifier
1295396554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16972
- Practice address
- 101 W Main St
Jones, OK 73049-7586 - Phone
- (316) 200-0818
- NPI assigned
- Jun 26, 2019
- Last updated
- Feb 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 16972 | OK | |
| Pharmacist | 183500000X | 16972 | OK | Primary |
Addresses
Primary practice location
101 W Main St
Jones, OK 73049-7586
Mailing address
10050 E Covell Rd
Arcadia, OK 73007
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16972 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644019200000",
"number": "1295396554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10050 E COVELL RD",
"city": "ARCADIA",
"state": "OK",
"postal_code": "73007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W MAIN ST",
"city": "JONES",
"state": "OK",
"postal_code": "730497586",
"telephone_number": "316-200-0818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDISON",
"first_name": "JARRETT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-26",
"last_updated": "2022-02-05",
"certification_date": "2022-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OK",
"license": "16972",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "16972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jones, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.