Jack Dowell Pittman Jr., DPH. GCP
NPI 1174940894ActiveIndividual· Pharmacist, Geriatric· Clinton, AR
Pharmacist, Geriatric (DPH. GCP) in Clinton, Arkansas, licensed in OK, with an NPI issued in March 2014.
Overview
| NPI | 1174940894 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPH. GCP |
| Sole proprietor | Yes |
| NPI issued | Mar 19, 2014 |
| Last updated in NPPES | Mar 19, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Geriatric Primary | 1835G0303X | 9700 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|