Jason Babcock, PHARMD
Individual provider Active NPI Pharmacist · Salida, CO
NPI 1780144725 · NPPES record last updated Mar 25, 2019
Key facts
- NPI
- 1780144725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0022305 (CO)
- Practice address
- 232 G St
Salida, CO 81201-2019 - Phone
- (719) 539-3513
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0022305 | CO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0022305 | CO | Yes |
Addresses
Primary practice location
232 G St
Salida, CO 81201-2019
Mailing address
232 G St
Salida, CO 81201-2019
Phone (719) 539-3513
Other providers in Salida, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.