Active NPI
Jaret Kendall Shook, DO, PHARMD, RPH
- Student in an Organized Health Care Education/Training Program
- Akron, OH
National Provider Identifier
1669193934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 58.035365
- Practice address
- 1 Akron General Ave
Akron, OH 44307-2432 - Phone
- (330) 344-6000
- NPI assigned
- Sep 6, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 58.035365 | OH | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 03442413 | OH |
Addresses
Primary practice location
1 Akron General Ave
Akron, OH 44307-2432
Mailing address
1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6000
Other practice location 1
210 E Mary St
Bucyrus, OH 44820-1829
Phone (419) 562-7654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260513004107 | OH | Order and Referring Only - Urology | 1759850233 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03442413 | OH | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 58.035365 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past | Accepting new patients | |
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Bucyrus, OH
- NPI 1013941731
-
- Community/Retail Pharmacy
- Nelsonville, OH
- NPI 1679507370
-
- Community/Retail Pharmacy
- Bethlehem, GA
- NPI 1154294205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1669193934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 AKRON GENERAL AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443072432",
"telephone_number": "330-344-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AKRON GENERAL AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443072432",
"telephone_number": "330-344-6000"
}
],
"practiceLocations": [
{
"address_1": "210 E Mary St",
"address_purpose": "LOCATION",
"city": "Bucyrus",
"state": "OH",
"postal_code": "448201829",
"country_code": "US",
"telephone_number": "419-562-7654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHOOK",
"first_name": "JARET",
"middle_name": "KENDALL",
"credential": "DO, PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-06",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "58.035365",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OH",
"license": "03442413",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.