Active NPI
Jordan Jenrette, PHARMD
- Student in an Organized Health Care Education/Training Program
- Aurora, CO
National Provider Identifier
1306581772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- PHA.0023677
- Practice address
- 12850 E Montview Blvd
Aurora, CO 80045-2605 - Phone
- (303) 724-2882
- NPI assigned
- May 1, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PHA.0023677 | CO | Primary |
Addresses
Primary practice location
12850 E Montview Blvd
Aurora, CO 80045-2605
Mailing address
12850 E Montview Blvd
Aurora, CO 80045-2605
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.0023677 | CO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651363200000",
"number": "1306581772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12850 E MONTVIEW BLVD",
"city": "AURORA",
"state": "CO",
"postal_code": "800452605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12850 E MONTVIEW BLVD",
"city": "AURORA",
"state": "CO",
"postal_code": "800452605",
"telephone_number": "303-724-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENRETTE",
"first_name": "JORDAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-01",
"last_updated": "2022-05-01",
"certification_date": "2022-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "PHA.0023677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.