Active NPI
Jeffrey Jorgensen, PHARMD.
- Pharmacist
- Storm Lake, IA
National Provider Identifier
1821432691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20512
- Practice address
- 620 Northwestern Dr
Storm Lake, IA 50588 - Phone
- (712) 213-8065
- Fax
- (712) 213-8066
- NPI assigned
- Apr 24, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17102 | CO | |
| Pharmacist | 183500000X | 20512 | IA | Primary |
Addresses
Primary practice location
620 Northwestern Dr
Storm Lake, IA 50588
Mailing address
PO Box 309
Storm Lake, IA 50588-0309
Phone (712) 213-8065
Other practice location 1
0103 market st
Eagle, CO 81631
Phone (970) 328-1311
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 |
|---|---|---|---|
| 17102 | CO | MD | Pharmacist |
| 20512 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
-
- Community/Retail Pharmacy
- Eagle, CO
- NPI 1760428858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1821432691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"city": "STORM LAKE",
"state": "IA",
"postal_code": "505880309",
"telephone_number": "712-213-8065",
"fax_number": "712-213-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 NORTHWESTERN DR",
"city": "STORM LAKE",
"state": "IA",
"postal_code": "50588",
"telephone_number": "712-213-8065",
"fax_number": "712-213-8066"
}
],
"practiceLocations": [
{
"address_1": "0103 market st",
"address_purpose": "LOCATION",
"city": "Eagle",
"state": "CO",
"postal_code": "81631",
"country_code": "US",
"telephone_number": "970-328-1311",
"fax_number": "970-328-1317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORGENSEN",
"first_name": "JEFFREY",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-24",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "17102",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Storm Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.