Individual provider Active NPI

Jagdish Kumar Khatter

  • Pharmacist
  • Denver, CO
National Provider Identifier
1255871950
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12242 Issued in CO
Practice address
4605 Quebec St
Denver, CO 80216-3405
Phone
(303) 532-1431
NPI assigned
Feb 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12242 CO Primary

Addresses

Primary practice location

4605 Quebec St
Denver, CO 80216-3405

Mailing address

5901 S Himalaya CT
Centennial, CO 80016-3818
Phone (303) 885-6974

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
12242COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1255871950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 S HIMALAYA CT",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800163818",
            "telephone_number": "303-885-6974",
            "fax_number": "303-321-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 QUEBEC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163405",
            "telephone_number": "303-532-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATTER",
        "first_name": "JAGDISH",
        "middle_name": "KUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "12242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.