Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770187783 Individual Practitioner Male Practitioner

Dr. Jared Andrew Blaylock , PharmD

Pharmacist • Wood River, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jared Blaylock, PharmD is a registered healthcare professional specializing in Pharmacist in Wood River, IL. Practice services are available at 1 W EDWARDSVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 W Edwardsville Rd

Wood River, IL 620951261

Telephone 6182543610
Associated Practice Facility / Clinic
🏢 Highland Park Cvs, L.l.c. Facility NPI 1710080585

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Wood River, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Wood River, IL (9983 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

CMS Verified: 2022-02-17
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2020023097

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License IL 051303330

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

3 Associated Practitioners
NPI 1689397937

Doctor of Pharmacy (Pharm.D.)

NPI 1861089211

Doctor of Pharmacy (Pharm.D.)

NPI 1972185833

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 17, 2022

Registered at 1 W EDWARDSVILLE RD, WOOD RIVER, IL 620951261 (Tel: 6182543610)

📍
Updated Business Mailing Address February 17, 2022

Registered at 1 W EDWARDSVILLE RD, WOOD RIVER, IL 620951261 (Tel: 6182543610)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2022

Pharmacist (License #051303330 in IL)

NPI Profile Active November 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 30, 2020

Registered at 1042 S KIRKWOOD RD, KIRKWOOD, MO 631227200 (Tel: 3148224865)

📍
Updated Business Mailing Address November 30, 2020

Registered at 1042 S KIRKWOOD RD, KIRKWOOD, MO 631227200 (Tel: 6182923609)

👤
Provider Name / Credentials Updated November 30, 2020

Recorded as JARED BLAYLOCK, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2020

Pharmacist (License #2020023097 in MO)

🟢
Initial NPI Registration & Enumeration November 30, 2020

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: 1770187783
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2020
Last Update: February 17, 2022
Sole Proprietor: No

Mailing Address

1 W Edwardsville Rd

Wood River, IL 620951261

Phone: 6182543610

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.