Individual provider Active NPI

Robert Governski, PHARMB

  • Pharmacist
  • Wheat Ridge, CO
National Provider Identifier
1083482301
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14225 Issued in CO
Practice address
6650 W 38TH Ave
Wheat Ridge, CO 80033-4906
Phone
(303) 421-6111
Fax
(303) 431-8320
NPI assigned
Dec 15, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P0018X 14225 CO
Pharmacist 183500000X 14225 CO Primary

Addresses

Primary practice location

6650 W 38TH Ave
Wheat Ridge, CO 80033-4906

Mailing address

3883 Buffalo Ridge Rd
Jefferson, CO 80456
Phone (970) 531-2193

Other practice location 1

3883 Buffalo Ridge Rd
Jefferson, CO 80456-5005
Phone (970) 531-2193

Other names 1

  • Robert Governski Professional name

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

LicenseStateTypeSpecialty
14225COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1083482301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 BUFFALO RIDGE RD",
            "city": "JEFFERSON",
            "state": "CO",
            "postal_code": "80456",
            "telephone_number": "970-531-2193",
            "fax_number": "303-431-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334906",
            "telephone_number": "303-421-6111",
            "fax_number": "303-431-8320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3883 Buffalo Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "CO",
            "postal_code": "804565005",
            "country_code": "US",
            "telephone_number": "970-531-2193",
            "fax_number": "303-431-8320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOVERNSKI",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PHARMB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "14225",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "14225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "GOVERNSKI",
            "credential": "PHARMB",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.