Active NPI
Jared Jaeger, RPH
- Pharmacist
- Bellevue, NE
National Provider Identifier
1699289827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13568
- Practice address
- 2109 Towne Center Dr
Bellevue, NE 68123-6404 - Phone
- (402) 686-2043
- NPI assigned
- Nov 27, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 13568 | NE | Primary |
Addresses
Primary practice location
2109 Towne Center Dr
Bellevue, NE 68123-6404
Mailing address
2109 Towne Center Dr
Bellevue, NE 68123-6404
Phone (402) 686-2043
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13568 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Bellevue, NE
- NPI 1366780090
-
- Community/Retail Pharmacy
- Eastvale, CA
- NPI 1770458945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1699289827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 TOWNE CENTER DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681236404",
"telephone_number": "402-686-2043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 TOWNE CENTER DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681236404",
"telephone_number": "402-686-2043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAEGER",
"first_name": "JARED",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-27",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.