Individual provider Active NPI

David Charles Stuhr, PHARMACIST

  • Pharmacist
  • La Jara, CO
National Provider Identifier
1891302592
Registry record updated Sep 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9403 Issued in CO
Practice address
412 Main St
La Jara, CO 81140-5034
Phone
(719) 274-5109
Fax
(719) 274-4214
NPI assigned
Sep 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9403 CO Primary

Addresses

Primary practice location

412 Main St
La Jara, CO 81140-5034

Mailing address

412 Main St
La Jara, CO 81140-5034
Phone (719) 274-5109

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

LicenseStateTypeSpecialty
9403COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
La Jara Pharmaceutical Center, Inc. PastSince Oct 4, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1891302592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MAIN ST",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "811405034",
            "telephone_number": "719-274-5109",
            "fax_number": "719-274-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MAIN ST",
            "city": "LA JARA",
            "state": "CO",
            "postal_code": "811405034",
            "telephone_number": "719-274-5109",
            "fax_number": "719-274-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUHR",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "9403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jara, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.