Active NPI
Jerry Curtis Bailey, R.PH
- Pharmacist
- Canton, OH
National Provider Identifier
1902895261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-3-17124
- Practice address
- 3013 Cleveland Ave SW
Canton, OH 44707-3625 - Phone
- (330) 484-9310
- Fax
- (330) 484-9318
- NPI assigned
- Oct 19, 2005
- 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 | 03-3-17124 | OH | Primary |
Addresses
Primary practice location
3013 Cleveland Ave SW
Canton, OH 44707-3625
Mailing address
3013 Cleveland Ave SW
Canton, OH 44707-3625
Phone (330) 484-9310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30-3-17124 | Other | OH | PHARMACIST |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902895261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 CLEVELAND AVE SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447073625",
"telephone_number": "330-484-9310",
"fax_number": "330-484-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3013 CLEVELAND AVE SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447073625",
"telephone_number": "330-484-9310",
"fax_number": "330-484-9318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JERRY",
"middle_name": "CURTIS",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-3-17124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "30-3-17124",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.