Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Mason Gillingham

Individual provider Pharmacist · NPI 1285115105

Jared Mason Gillingham is a Pharmacist in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018

Practice location Address checks out

19505 N Sunrise Blvd # Surprise
Surprise, AZ 85374-4739
Phone: (623) 556-4778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence S023318 (AZ)

Record details

NPI number1285115105
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2018
Last updated in NPPESAugust 28, 2018
Mailing address10947 W Royal Palm Rd, Peoria, AZ 85345-1900

Other providers in Surprise