Active NPI
Jacob Hartman, PHARMD
- Pharmacist
- Grand Junction, CO
National Provider Identifier
1770976409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20519
- Practice address
- 661 McCaldon Way
Grand Junction, CO 81504-4710 - Phone
- (801) 674-3095
- NPI assigned
- Mar 5, 2015
- Sex
- Male
- 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 | 20519 | CO | Primary |
Addresses
Primary practice location
661 McCaldon Way
Grand Junction, CO 81504-4710
Mailing address
2809 North Ave
Grand Junction, CO 81501-5105
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 |
|---|---|---|---|
| 20519 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1770976409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 NORTH AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815015105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 MCCALDON WAY",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815044710",
"telephone_number": "801-674-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "JACOB",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-05",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "20519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.