Individual provider · Type 1 NPI

Jacob Tyler Gardner, PharmD

Pharmacist · Clyde, NC

NPI number 1629975248 Active

Practice location

262 Leroy George Dr
Clyde, NC 28721-7430

Call (828) 456-7311 Map

Mailing address

237 Ballantyne Common Cir Apt 306
Hendersonville, NC 28792-7285

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X33784 (NC)

Pharmacist: 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…

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About NPI 1629975248

Jacob Tyler Gardner, PharmD's National Provider Identifier is 1629975248, issued on Oct 26, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Clyde, NC. The record was last updated on Oct 26, 2026.