Active NPI
Jennifer Fortunato, PHARM. D. , RPH.
- Pharmacist
- Thornton, CO
National Provider Identifier
1760704936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16818
- Practice address
- 1400 E 104TH Ave
Thornton, CO 80233-4306 - Phone
- (303) 252-9150
- Fax
- (303) 450-2573
- NPI assigned
- Feb 15, 2010
- Last updated
- Feb 15, 2010
- Sex
- Female
- 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 | 16818 | CO | Primary |
Addresses
Primary practice location
1400 E 104TH Ave
Thornton, CO 80233-4306
Mailing address
1400 E 104TH Ave
Thornton, CO 80233-4306
Phone (303) 252-9150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16818 | Other | CO | COLORADO BOARD OF PHARMACY LICENSE |
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16818 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266192000000",
"number": "1760704936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E 104TH AVE",
"city": "THORNTON",
"state": "CO",
"postal_code": "802334306",
"telephone_number": "303-252-9150",
"fax_number": "303-450-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E 104TH AVE",
"city": "THORNTON",
"state": "CO",
"postal_code": "802334306",
"telephone_number": "303-252-9150",
"fax_number": "303-450-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTUNATO",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PHARM. D. , RPH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-15",
"last_updated": "2010-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "16818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO BOARD OF PHARMACY LICENSE",
"identifier": "16818",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.