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Jared Mason Gillingham

NPI 1285115105ActiveIndividual· Pharmacist· Surprise, AZ

Pharmacist in Surprise, Arizona, licensed in AZ, with an NPI issued in August 2018. Part D covered 251 prescriptions written in 2024, 0% of them generic.

Overview

NPI1285115105
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 28, 2018
Last updated in NPPESAug 28, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XS023318AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)251 · 251 30-day fills
Patients225
Total drug cost$53,827
Generic share0% of claims

Medicare sources and data years

Other Pharmacist providers in Surprise

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