Individual provider Active NPI

Jason Charles Stillman, PHARMD

  • Pharmacist
  • Hill AFB, UT
National Provider Identifier
1649553553
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
369853-1701 Issued in UT
Practice address
7321 Balmer St BLDG 570
Hill AFB, UT 84056-5012
Phone
(801) 777-0419
NPI assigned
Sep 27, 2011
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 369853-1701 UT Primary

Addresses

Primary practice location

7321 Balmer St BLDG 570
Hill AFB, UT 84056-5012

Mailing address

2072 N 1000 W
West Bountiful, UT 84087-1163
Phone (801) 725-0418

Other practice location 1

Costco Wholesale #735
573 W 100 N
West Bountiful, UT 84010-7018
Phone (801) 299-3968

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
369853-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1649553553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 N 1000 W",
            "city": "WEST BOUNTIFUL",
            "state": "UT",
            "postal_code": "840871163",
            "telephone_number": "801-725-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 BALMER ST BLDG 570",
            "city": "HILL AFB",
            "state": "UT",
            "postal_code": "840565012",
            "telephone_number": "801-777-0419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Costco Wholesale #735",
            "address_2": "573 W 100 N",
            "address_purpose": "LOCATION",
            "city": "West Bountiful",
            "state": "UT",
            "postal_code": "840107018",
            "country_code": "US",
            "telephone_number": "801-299-3968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLMAN",
        "first_name": "JASON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "369853-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hill AFB, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.