Active NPI
Valerie Wiedman, RPH
- Pharmacist
- Grand Junction, CO
National Provider Identifier
1013050244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14130
- Practice address
- 2800 D Rd
Grand Junction, CO 81501-4721 - Phone
- (970) 255-5803
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14130 | CO | Primary |
Addresses
Primary practice location
2800 D Rd
Grand Junction, CO 81501-4721
Mailing address
896 Trappers CT
Grand Junction, CO 81506-8670
Phone (970) 242-8046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14130 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013050244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "896 TRAPPERS CT",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815068670",
"telephone_number": "970-242-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 D RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815014721",
"telephone_number": "970-255-5803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDMAN",
"first_name": "VALERIE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "14130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.