Active NPI
Jessica Beata Quintana
- Pharmacist
- Broomfield, CO
National Provider Identifier
1881201002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0023279
- Practice address
- 500 Summit Blvd
Broomfield, CO 80021-8219 - Phone
- (303) 466-7911
- NPI assigned
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 0023279 | CO | Primary |
Addresses
Primary practice location
500 Summit Blvd
Broomfield, CO 80021-8219
Mailing address
2626 S Lafayette St
Denver, CO 80210-5929
Phone (702) 856-6033
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0023279 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1881201002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 S LAFAYETTE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802105929",
"telephone_number": "702-856-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SUMMIT BLVD",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800218219",
"telephone_number": "303-466-7911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "JESSICA",
"middle_name": "BEATA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0023279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.