Active NPI
Jason Southworth, PHARMD
- Pharmacist
- Durham, NC
National Provider Identifier
1497081178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13903
- Practice address
- 4102 Ben Franklin Blvd
Durham, NC 27704 - Phone
- (919) 972-7719
- Fax
- (919) 972-7721
- NPI assigned
- Oct 30, 2009
- Last updated
- Jun 14, 2024
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13903 | NC | Primary |
| Community/Retail Pharmacy | 3336C0003X | 14673 | NC |
Addresses
Primary practice location
4102 Ben Franklin Blvd
Durham, NC 27704
Mailing address
4102 Ben Franklin Boulevard
Durham, NC 27704-2140
Phone (919) 972-7719
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 |
|---|---|---|---|
| 13903 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyron Health Partners | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1497081178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4102 BEN FRANKLIN BOULEVARD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042140",
"telephone_number": "919-972-7719",
"fax_number": "919-972-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 BEN FRANKLIN BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "27704",
"telephone_number": "919-972-7719",
"fax_number": "919-972-7721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHWORTH",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-30",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "13903",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "14673",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
- Southpoint Podiatry, Inc.
- Southpoint Surgery Center LLC
- Southpoint Surgical PLLC
- Southpoint Vision, Christy Byrd, OD, PLLC
- Southwest Durham Family Medicine, PLLC (SW Durham Family Medicine)
- Jessica Aron Souza
- Benjamin Soydan, P.T.
- Sozo Life and Wellness Center, PLLC
- SP Internal Medicine P.C.
- Felicia Spadini, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.