Jennifer Petrie, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

0017981 Issued in CO

Practice address

2025 Bighorn Rd
Fort Collins, CO 80525-3480

Phone

(970) 449-0082

NPI assigned

Aug 18, 2020

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1033721436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 BIGHORN RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 BIGHORN RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253480",
            "telephone_number": "970-449-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CO",
            "license": "0017981",
            "primary": true
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "WY",
            "license": "3053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Peterson, RN
• Steven K. Peterson, CRNA
• Stuart Peterson, PT
• Virginia Peticolas, RN BSN
• Joshua H Petit, M.D.
• Kallie Petrie
• Mark Petrun, M.D.
• Winter Petrun
• Eric Pettine, DDS
• Stefan M Pettine, M.D.

• Ambulatory Care Pharmacist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Ambulatory Care Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.