IndividualActive
Jared Stockwell, PHARMD
NPI 1104772961 · Pharmacist · Medford, OR
Provider details
- NPI number
- 1104772961
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- RPH-0014192 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 Crater Lake Ave
Medford, OR 97504-6241
Phone: (541) 732-5541
Street-level locationGet directions
Mailing address
2237 Aloha Ave
Medford, OR 97504-6937
Registry dates
- Enumerated
- 2026-03-05
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.