Thomas Robert Jorgensen

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0021855 Issued in CO

Practice address

200 Rood Ave
Grand Junction, CO 81501-7819

Phone

(970) 241-2278

NPI assigned

Aug 5, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501891200000",
    "number": "1851816391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 G RD APT 7D",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815061408",
            "telephone_number": "605-610-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROOD AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017819",
            "telephone_number": "970-241-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-05",
        "last_updated": "2017-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "0021855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanell Jonour
• Gregory James Joos, PHARM.D.
• Erika Lynn Jordan
• Laura K Jordan, CCC-SLP
• Andrea Lynn Jordheim, D.C.
• Joseph R Funderburk, DDS
• Joseph R. Funderburk DDS Professional LLC (Grand Junction Oral Surgery)
• Paul Joslyn
• Kathleen Michelle Joy, DO
• Heather V. Juanes, LPC

• Community/Retail Pharmacy in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2017; 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.