Active NPI
Gary Sims
- Pharmacist
- Montrose, CO
National Provider Identifier
1255709846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15152
- Practice address
- 16400 S Townsend Ave
Montrose, CO 81401-5404 - Phone
- (970) 240-3236
- NPI assigned
- Sep 13, 2015
- Last updated
- Sep 13, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15152 | CO | Primary |
| Pharmacist | 183500000X | 8952 | OK | |
| Pharmacist | 183500000X | 22093 | TX | |
| Pharmacist | 183500000X | 12876 | AZ |
Addresses
Primary practice location
16400 S Townsend Ave
Montrose, CO 81401-5404
Mailing address
901 6530 Rd Unit 3602
Montrose, CO 81401-8990
Phone (806) 220-6495
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 |
|---|---|---|---|
| 15152 | CO | MD | Mental Health Counselor |
| 22093 | TX | MD | Psychologist |
| 12876 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442102400000",
"number": "1255709846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 6530 RD UNIT 3602",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814018990",
"telephone_number": "806-220-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16400 S TOWNSEND AVE",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015404",
"telephone_number": "970-240-3236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "GARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-13",
"last_updated": "2015-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "15152",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8952",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "22093",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "12876",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.