Active NPI
Jared Temple, PHARMD
- Pharmacist
- Duluth, MN
National Provider Identifier
1558032615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 125405
- Practice address
- 4501 Grand Ave
Duluth, MN 55807-2754 - Phone
- (218) 628-2897
- NPI assigned
- Sep 27, 2021
- Last updated
- Sep 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 125405 | MN | Primary |
Addresses
Primary practice location
4501 Grand Ave
Duluth, MN 55807-2754
Mailing address
1004 E 6TH St
Duluth, MN 55805-2232
Phone (218) 256-1222
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 |
|---|---|---|---|
| 125405 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, 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": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1558032615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 E 6TH ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052232",
"telephone_number": "218-256-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 GRAND AVE",
"city": "DULUTH",
"state": "MN",
"postal_code": "558072754",
"telephone_number": "218-628-2897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLE",
"first_name": "JARED",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-27",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
- Tbi Residential and Community Services, Inc.
- Tbi Residential and Community Services, Inc.
- Robin Leslie Tedlund
- Angela Kay Teigland, MEDICAL ASSISTANT
- Laszlo Steven Tekler, DO
- Tender Loving Care of Duluth, Inc.
- Steven Carl Teng
- Christine Elizabeth Tenhoff, DO
- Anna Delora Tennis
- John Paul Tennis, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.