Active NPI
Jordan Gray, PHARM D
- Pharmacist
- St George, UT
National Provider Identifier
1881243335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7550508
- Practice address
- 736 S 900 E Ste 102
St George, UT 84790-7001 - Phone
- (435) 652-1548
- NPI assigned
- Sep 7, 2019
- 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 | 7550508 | UT | Primary |
Addresses
Primary practice location
736 S 900 E Ste 102
St George, UT 84790-7001
Mailing address
1061 E Fort Pierce Dr
St George, UT 84790-8813
Phone (435) 272-3331
Other practice location 1
835 N 3050 E
St George, UT 84790-9041
Phone (435) 256-0002
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 |
|---|---|---|---|
| 7550508 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567814400000",
"number": "1881243335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 E FORT PIERCE DR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847908813",
"telephone_number": "435-272-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 S 900 E STE 102",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847907001",
"telephone_number": "435-652-1548"
}
],
"practiceLocations": [
{
"address_1": "835 N 3050 E",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847909041",
"country_code": "US",
"telephone_number": "435-256-0002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "JORDAN",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-07",
"last_updated": "2019-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "7550508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.