Jeffrey L Sugarman, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

14536 Issued in CO

Practice address

5755 Constitution Ave
Colorado Springs, CO 80915-1220

Phone

(719) 591-9929

Fax

(719) 591-5829

NPI assigned

Nov 15, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1699052902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 CHARLOTTESVILLE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809221147",
            "telephone_number": "719-573-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 CONSTITUTION AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151220",
            "telephone_number": "719-591-9929",
            "fax_number": "719-591-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGARMAN",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "14536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO DORA ACTIVE PHARMACIST LICENSE NO.",
            "identifier": "14536",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Mark Sudol, PHARMACIST
• Kevin Luke Sudol, B.S. PHARM
• Imelda Suelto, MD
• Maryll Ann Bunyi Suelto
• Noah Suess, LPCC
• Skyy Sugden
• Alyssa Suhr
• Lindsey Nicole Suhr, PA-C
• Suicide Prevention Partnership Peak Region
• Robyn Rae Suiter, PNP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.