DR. JARED ANDREW BLAYLOCK PHARMD
NPI 1770187783
Pharmacist in Wood River, IL

Active since November 30, 2020
1 W EDWARDSVILLE RD, WOOD RIVER, IL 62095(618) 254-3610 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2022, Nov 30, 2020 (2 updates tracked since 2020).

About Dr. Jared Andrew Blaylock Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JARED ANDREW BLAYLOCK PHARMD (NPI 1770187783) is an individual pharmacist in Wood River, Illinois, licensed in Missouri (2020023097) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1770187783
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JARED ANDREW BLAYLOCKCredential: PHARMD
Location Address1 W EDWARDSVILLE RDWood River, IL 62095-1261
Mailing Address1 W Edwardsville RdWood River, IL 62095-1261 · (618) 254-3610
Sole ProprietorNo
Enumeration DateNovember 30, 2020
Last NPPES UpdateFebruary 17, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
NPI 1770187783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in MO · 2020023097 Licensed in IL · 051303330
Definition
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.
1 W EDWARDSVILLE RD, Wood River, IL 62095

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1 W EDWARDSVILLE RD
WOOD RIVER, IL 62095
Pharmacy
1 W EDWARDSVILLE RD
WOOD RIVER, IL 62095
Pharmacist
1 W EDWARDSVILLE RD
WOOD RIVER, IL 62095
Pharmacist
1 W EDWARDSVILLE RD
WOOD RIVER, IL 62095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Blaylock's NPI number?

The NPI number for Jared Blaylock is 1770187783. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Jared Blaylock located?

Jared Blaylock practices at 1 W Edwardsville Rd, Wood River, IL 62095. The listed phone number is (618) 254-3610.

What is Jared Blaylock's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jared Blaylock was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.