GJ Compounding LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

763 Issued in CO

Legal business name

GJ COMPOUNDING LLC

Practice address

2472 Patterson Rd.
Ste. 12
Grand Junction, CO 81505

Phone

(970) 243-5050

Fax

(970) 243-5110

NPI assigned

Apr 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Eric Michael Frazer, PHARM D

Title

Owner/Pic

Phone

(970) 243-5050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Western Colorado Specialty Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1124262563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2472 PATTERSON RD.",
            "address_2": "STE. 12",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-243-5050",
            "fax_number": "970-243-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 PATTERSON RD.",
            "address_2": "STE. 12",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-243-5050",
            "fax_number": "970-243-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GJ COMPOUNDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "FRAZER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "970-243-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CO",
            "license": "763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0621234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Colorado Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott I Gilmore, LCSW
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• Donald A Girodo
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• Rebecca A Glasser, MD

• Compounding Pharmacy in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Compounding Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.