Individual provider Active NPI

Jay Timothy Jirles, CPHT

  • Pharmacy Technician
  • Estes Park, CO
National Provider Identifier
1568046605
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
6124 Issued in CO
Practice address
455 E Wonder View Ave # B1
Estes Park, CO 80517-8927
Phone
(970) 586-5577
Fax
(970) 586-0455
NPI assigned
May 5, 2021
Last updated
May 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 6124 CO Primary

Addresses

Primary practice location

455 E Wonder View Ave # B1
Estes Park, CO 80517-8927

Mailing address

455 E Wonder View Ave # B1
Estes Park, CO 80517-8927
Phone (970) 586-5577

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

State licenses

LicenseStateTypeSpecialty
6124COMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1568046605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E WONDER VIEW AVE # B1",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805178927",
            "telephone_number": "970-586-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E WONDER VIEW AVE # B1",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805178927",
            "telephone_number": "970-586-5577",
            "fax_number": "970-586-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIRLES",
        "first_name": "JAY",
        "middle_name": "TIMOTHY",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CO",
            "license": "6124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estes Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.