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1235023698 NPI number — JARED ALEX GONZALEZ PHARMD

NPI Number: 1235023698
Health Care Provider/Practitioner: JARED ALEX GONZALEZ PHARMD

Information about “1235023698” NPI (JARED ALEX GONZALEZ PHARMD) exists in 1235023698 in HTML format HTML  |  1235023698 in plain Text format TXT  |  1235023698 in PDF (Portable Document Format) PDF  |  1235023698 in an XML format XML  formats.

NPI Number : 1235023698 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235023698",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GONZALEZ",
    "FirstName": "JARED",
    "MiddleName": "ALEX",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GONZALEZ",
    "OtherFirstName": "JARED",
    "OtherMiddleName": "ALEX",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "497 W 4800 S STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MURRAY",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84123-4749",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "801-810-0337",
    "MailingAddressFaxNumber": "801-801-3128",
    "FirstLinePracticeLocationAddress": "497 W 4800 S STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MURRAY",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84123-4749",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-810-0337",
    "PracticeLocationAddressFaxNumber": "801-312-8760",
    "EnumerationDate": "06/09/2025",
    "LastUpdateDate": "06/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "PHA.0025138",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "8786745-1701",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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