Individual provider Active NPI

Jasjit Singh Gill, RPH

  • Pharmacist
  • Boulder, CO
National Provider Identifier
1790992550
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16490 Issued in CO
Practice address
The Apothecary Pharmacy - University of Colorado
350 Broadway Ste. 50
Boulder, CO 80305
Phone
(303) 499-2879
Fax
(303) 499-5308
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16490 CO Primary
Pharmacist 183500000X 050699-1 NY
Pharmacist 183500000X PS36461 FL

Addresses

Primary practice location

The Apothecary Pharmacy - University of Colorado
350 Broadway Ste. 50
Boulder, CO 80305

Mailing address

1878 Fourmile Canyon Dr
Boulder, CO 80302-8787
Phone (303) 499-2879

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
16490COMDPharmacist
PS36461FLMDPharmacist
050699-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790992550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 FOURMILE CANYON DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803028787",
            "telephone_number": "303-499-2879",
            "fax_number": "303-499-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE APOTHECARY PHARMACY - UNIVERSITY OF COLORADO",
            "address_2": "350 BROADWAY STE. 50",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80305",
            "telephone_number": "303-499-2879",
            "fax_number": "303-499-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "JASJIT",
        "middle_name": "SINGH",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "16490",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050699-1",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS36461",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.