JASON DEBOODT (NPI# 1013217900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013217900 |
| Entity Type | Individual |
| Full Name | JASON DEBOODT |
| Practice Address |
2160 W Drake Rd Fort Collins CO 80526-1486 |
| Practice Telephone | 9704842843 |
| Practice Fax Number | 9704902774 |
| Mailing Telephone | 9704842843 |
| Mailing Fax Number | 9704902774 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17449 | CO | Pharmacy Service Providers |
| Street Address |
2160 W DRAKE RD |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-1486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760411714 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 2160 W Drake Rd, Fort Collins, CO 80526-1486 | 2006-07-02 |
| 1295036283 | Minehwa Chen | Pharmacist | 2160 W Drake Rd, Fort Collins, CO 80526-1486 | 2010-11-08 |
| 1083914063 | Clarissa Morrison-heffern | Pharmacist | 2160 W Drake Rd, Fort Collins, CO 80526-1486 | 2010-10-25 |
| 1639253974 | Angela Elizabeth Mcnair | Physician Assistant | 2160 W Drake Rd, A3, Fort Collins, CO 80526-1486 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222432 | Chad Toussant | Pharmacist | 502 W Myrtle St Apt 108, Fort Collins, CO 80521-3613 | 2020-10-09 |
| 1568073054 | Brandi Reinhart | Pharmacist | 2601 S Lemay Ave Unit 42, Fort Collins, CO 80525-2247 | 2020-08-10 |
| 1669006888 | Scott Denney | Pharmacist | 3701 Le Fever Dr Apt 4109, Fort Collins, CO 80528-4618 | 2020-02-26 |
| 1346703345 | Laura Lillian Cuthbert | Pharmacist | 813 Locust Ct, Fort Collins, CO 80524-3420 | 2019-04-08 |
| 1699236158 | Haley Funk | Pharmacist | 2001 Rosen Dr Apt 4-319, Fort Collins, CO 80528-2009 | 2019-03-27 |
| 1306339569 | Ryan Rogoszewski | Pharmacist | 3531 Windmill Dr Apt T6, Fort Collins, CO 80526-5913 | 2018-06-12 |
| 1205345170 | Jenna Luitjohan | Pharmacist | 2451 S Timberline Rd Apt 7-207, Fort Collins, CO 80525-4167 | 2017-09-23 |
| 1124401575 | Jennifer Washburn | Pharmacist | 3621 Muskrat Creek Dr, Fort Collins, CO 80528-4528 | 2015-07-02 |
| 1568856664 | Joseph Good II | Pharmacist | 3657 S College Ave, Fort Collins, CO 80525-3009 | 2015-03-26 |
| 1669880530 | Michael Scott Hardy | Pharmacist | 2160 W Drake Rd Unit 6, Fort Collins, CO 80526-1486 | 2014-07-23 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on JASON DEBOODT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.