Active NPI
Jorge Arturo Jimenez Morales, PHARMD
- Pharmacist
- Guilderland, NY
National Provider Identifier
1417632159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 070373
- Practice address
- 2061 Western Ave
Guilderland, NY 12084-9559 - Phone
- (518) 869-1520
- NPI assigned
- Jun 20, 2023
- Last updated
- Jun 20, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 070373 | NY | Primary |
Addresses
Primary practice location
2061 Western Ave
Guilderland, NY 12084-9559
Mailing address
2061 Western Ave
Guilderland, NY 12084-9559
Phone (518) 869-1520
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 |
|---|---|---|---|
| 070373 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1417632159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2061 WESTERN AVE",
"city": "GUILDERLAND",
"state": "NY",
"postal_code": "120849559",
"telephone_number": "518-869-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2061 WESTERN AVE",
"city": "GUILDERLAND",
"state": "NY",
"postal_code": "120849559",
"telephone_number": "518-869-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIMENEZ MORALES",
"first_name": "JORGE",
"middle_name": "ARTURO",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-20",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "070373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guilderland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.