Look up the most recent NPI and PECOS records

Jason Alexander Phillips

Pharmacist

Pharmacy Service Providers

533 Parnassus Ave, Room U585, San Francisco, CA 94143-2208

PECOS Enrollment

Based on the most recent information from CMS, provider Jason Alexander Phillips does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1104296243
Provider Type
Individual
Full Name
Phillips, Jason Alexander
Title
Dr.
Credential
PHARM.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/1/2015
Last Updated
10/1/2015

Contact Information

Practice Location

533 Parnassus Ave, Room U585, San Francisco, CA 94143-2208

(415) 353-1335

(415) 353-1240

Mailing Location

533 Parnassus Ave, Room U585, San Francisco, CA 94143-2208

(415) 353-1335

(415) 353-1240

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 69062 California

Provider Identifiers

ID	Description	Issuer
ID 69062	Description Other	Issuer BOARD OF PHARMACY REGISTERED PHARMACIST California

Jason Alexander Phillips

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Munoz, Danielle Tess

Dacey, Katie Meunier

Rau, Johnny

Parekh, Mira

Cheng, Christine M

Bainbridge, Claire

Hester, Rachael Ashley Gordon

Lee, Joyce Y

Jue, Ising (Vicki)

Lucas, Sarah Scarpace