Active NPI
Rachel Gillham
- Pharmacist
- Fort Lupton, CO
National Provider Identifier
1073355871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24113
- Practice address
- 105 Dales PL
Fort Lupton, CO 80621-2106 - Phone
- (303) 857-6266
- NPI assigned
- Jun 11, 2024
- 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 | 24113 | CO | Primary |
Addresses
Primary practice location
105 Dales PL
Fort Lupton, CO 80621-2106
Mailing address
2297 County Road 59
Keenesburg, CO 80643-9426
Phone (720) 292-8633
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24113 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Hands Pharmacy Inc | Current | Accepting new patients |
Locations
105 Dales Pl
Fort Lupton, CO 80621
Phone (303) 857-6266
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fort Lupton, CO
- NPI 1447329099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1073355871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2297 COUNTY ROAD 59",
"city": "KEENESBURG",
"state": "CO",
"postal_code": "806439426",
"telephone_number": "720-292-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 DALES PL",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "806212106",
"telephone_number": "303-857-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLHAM",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-11",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "24113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lupton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.