Individual provider Active NPI

Rodney J. Diffendaffer, RPH

  • Pharmacist
  • Aspen, CO
National Provider Identifier
1285842393
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14639 Issued in CO
Practice address
100 E Main St
Suite 102
Aspen, CO 81611-1780
Phone
(970) 925-8837
Fax
(970) 925-4233
NPI assigned
May 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14639 CO Primary

Addresses

Primary practice location

100 E Main St
Suite 102
Aspen, CO 81611-1780

Mailing address

100 E Main St
Suite 102
Aspen, CO 81611-1780
Phone (970) 925-8837

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14639COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285842393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111780",
            "telephone_number": "970-925-8837",
            "fax_number": "970-925-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111780",
            "telephone_number": "970-925-8837",
            "fax_number": "970-925-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFFENDAFFER",
        "first_name": "RODNEY",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "14639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.