Active NPI
Jameson Moon Pickerill, PHARMD
- Pharmacist
- Trinidad, CO
National Provider Identifier
1184450256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0024942
- Practice address
- 457 W Main St
Trinidad, CO 81082-2623 - Phone
- (719) 846-3086
- NPI assigned
- Sep 13, 2024
- Last updated
- Sep 13, 2024
- Sex
- Male
- 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 | PHA.0024942 | CO | Primary |
Addresses
Primary practice location
457 W Main St
Trinidad, CO 81082-2623
Mailing address
821 S Ash St
Trinidad, CO 81082-3437
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0024942 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1184450256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 S ASH ST",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810823437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 W MAIN ST",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810822623",
"telephone_number": "719-846-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKERILL",
"first_name": "JAMESON",
"middle_name": "MOON",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-13",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0024942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trinidad, CO
- Paul a. Andreatta DDS PC
- Paul Andreatta D.D.S.P.C.
- David Richard Paz, M.D.
- Peak Physiotherapy & Wellness, LLC (Peak Physiotherapy & Wellness)
- Huong Hoa Thi Pham, PHARM D
- Fatima Pina, R.D.,L.D.
- Poudre Valley Medical Group, LLC
- Poudre Valley Medical Group, LLC (UCHealth Medical Group)
- Pro-Rehab and Fitness Center, Inc.
- Andrew Charles Rath, MA, NCC, LPCC, ADDC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.