Individual provider Active NPI

Jason Dane Shimanek, PHARM D.

  • Pharmacist
  • Federal Heights, CO
National Provider Identifier
1447537170
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18089 Issued in CO
Practice address
1601 W 84TH Ave
Federal Heights, CO 80260-5001
Phone
(303) 426-4994
Fax
(303) 426-7603
NPI assigned
Nov 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18089 CO Primary

Addresses

Primary practice location

1601 W 84TH Ave
Federal Heights, CO 80260-5001

Mailing address

1601 W 84TH Ave
Federal Heights, CO 80260-5001
Phone (303) 426-4994

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

LicenseStateTypeSpecialty
18089COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1447537170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W 84TH AVE",
            "city": "FEDERAL HEIGHTS",
            "state": "CO",
            "postal_code": "802605001",
            "telephone_number": "303-426-4994",
            "fax_number": "303-426-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W 84TH AVE",
            "city": "FEDERAL HEIGHTS",
            "state": "CO",
            "postal_code": "802605001",
            "telephone_number": "303-426-4994",
            "fax_number": "303-426-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMANEK",
        "first_name": "JASON",
        "middle_name": "DANE",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "18089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Heights, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.