Benjamin Jay Jimerson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

12429 Issued in CO

Practice address

13143 S Parker Rd
Parker, CO 80134-3488

Phone

(720) 214-1073

Fax

(720) 214-1077

NPI assigned

Oct 6, 2011

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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1891079901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 CANTERBERRY LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388464",
            "telephone_number": "720-214-1073",
            "fax_number": "720-214-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13143 S PARKER RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343488",
            "telephone_number": "720-214-1073",
            "fax_number": "720-214-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMERSON",
        "first_name": "BENJAMIN",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "12429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Matthew Jensen, DPT
• Rowena Jensen
• Torsten Christoph Jess, M.S.CCC-SLP.CS
• Laura Jester, PH.D.
• Courtney Elizabeth Jewett, LCSW
• Allison Hildalgo Johnson, MSW, LCSW
• Carl Starck Johnson, MD
• Christopher Johnson, MA,LPCC
• Derek Ryan Johnson, M.D.
• Lauren Johnson

• Pharmacist in Parker, CO
• Providers in Parker, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.