Active NPI
Jefferey Chheuy, PHARMD
- Pharmacist
- Pueblo, CO
National Provider Identifier
1982121836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0021909
- Practice address
- 4080 W Northern Ave
Pueblo, CO 81005-3503 - Phone
- (719) 561-0951
- NPI assigned
- Aug 22, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 0021909 | CO | Primary |
Addresses
Primary practice location
4080 W Northern Ave
Pueblo, CO 81005-3503
Mailing address
2002 Settlers Dr
Pueblo, CO 81008-1885
Phone (951) 288-8859
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 |
|---|---|---|---|
| 0021909 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503360000000",
"number": "1982121836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 SETTLERS DR",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810081885",
"telephone_number": "951-288-8859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 W NORTHERN AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810053503",
"telephone_number": "719-561-0951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHHEUY",
"first_name": "JEFFEREY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-22",
"last_updated": "2017-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0021909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.