Active NPI
Douglas A Everhart, RPH
- Pharmacist
- Fort Collins, CO
National Provider Identifier
1376987891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13861
- Practice address
- 1842 N College Ave
Fort Collins, CO 80524-1333 - Phone
- (970) 494-6950
- Fax
- (970) 494-6952
- NPI assigned
- Apr 26, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13861 | CO | Primary |
Addresses
Primary practice location
1842 N College Ave
Fort Collins, CO 80524-1333
Mailing address
1842 N College Ave
Fort Collins, CO 80524-1333
Phone (970) 494-6950
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13861 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1376987891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 N COLLEGE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805241333",
"telephone_number": "970-494-6950",
"fax_number": "970-494-6952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1842 N COLLEGE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805241333",
"telephone_number": "970-494-6950",
"fax_number": "970-494-6952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERHART",
"first_name": "DOUGLAS",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-26",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "13861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.