Active NPI
Trevor Juth, PHARMD
- Pharmacist
- Longmont, CO
National Provider Identifier
1942756341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0021457
- Practice address
- 551 S Hover St
Longmont, CO 80501-7920 - Phone
- (720) 864-4394
- NPI assigned
- Aug 27, 2016
- Last updated
- Aug 27, 2016
- Sex
- Male
- 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 | 0021457 | CO | Primary |
Addresses
Primary practice location
551 S Hover St
Longmont, CO 80501-7920
Mailing address
2312 Tulip Way
Longmont, CO 80501-0923
Phone (720) 684-9499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021457 | Other | CO | COLORADO DORA |
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 |
|---|---|---|---|
| 0021457 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472256000000",
"number": "1942756341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2312 TULIP WAY",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805010923",
"telephone_number": "720-684-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 S HOVER ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805017920",
"telephone_number": "720-864-4394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUTH",
"first_name": "TREVOR",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-27",
"last_updated": "2016-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0021457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DORA",
"identifier": "0021457",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
- Rebecca Juan, MA, LPC, CHT
- Kimberly Michelle Juge, PT
- Julie Abrams, Otr, LLC
- Joshua Jumbeck, PT, DPT
- Juniper Pediatric Therapy
- K U Wray Ma LPC PLLC
- Roland K Kafuuma, M.D.
- Lance Allan Kair
- Kaiser Foundation Health Plan of Colorado (Kaiser Permanente Longmont Pharmacy)
- Kaiser Foundation Health Plan of Colorado (Kaiser Permanente Longmont Medical Offices)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.