Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891834826 Individual Practitioner Male Practitioner

Jack B. Grider , PHARM, D

Pharmacist • Stockton, CA

Professional Overview & Biography Verified Profile Summary

Jack Grider, PHARM, D is a registered healthcare professional specializing in Pharmacist in Stockton, CA. Practice services are available at 711 E MARKET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

711 E Market St

Stockton, CA 952023104

Telephone 2093737559
Fax 2094620475
Associated Practice Facility / Clinic
🏢 Roderick Pharmacy Group Inc Facility NPI 1396726634

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Stockton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
313 Specialists

Practicing in Stockton, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA RPH 37866

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Maribel Parra

Pharmacist

NPI 1093175739
NPI 1174135230

Doctor of Pharmacy (Pharm.D.)

NPI 1376087890

Doctor of Pharmacy (Pharm.D.)

NPI 1720232663

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 711 E MARKET ST, STOCKTON, CA 952023104 (Tel: 2093737559)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4540 GNEKOW DR, STOCKTON, CA 952121307 (Tel: 2099310805)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK GRIDER, PHARM,D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #RPH 37866 in CA)

🟢
Initial NPI Registration & Enumeration February 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891834826
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

4540 Gnekow Dr

Stockton, CA 952121307

Phone: 2099310805

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.