JONATHAN JAMES LINGOW (NPI# 1114581428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114581428 |
| Entity Type | Individual |
| Full Name | JONATHAN JAMES LINGOW |
| Practice Address |
500 Summit Blvd Broomfield CO 80021-8219 |
| Practice Telephone | 3034667911 |
| Practice Fax Number | 3034667916 |
| Mailing Telephone | 3034667911 |
| Mailing Fax Number | 3034667916 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0022501 | CO | Pharmacy Service Providers |
| Street Address |
500 SUMMIT BLVD |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80021-8219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578519633 | Emily Jane Baker | Optometrist | 500 Summit Blvd, Broomfield, CO 80021-8219 | 2006-05-26 |
| 1881201002 | Jessica Beata Quintana | Pharmacist | 500 Summit Blvd, Broomfield, CO 80021-8219 | 2020-09-30 |
| 1225591720 | Stacy J Wager | Pharmacist | 500 Summit Blvd, Broomfield, CO 80021-8219 | 2019-04-11 |
| 1265644959 | Dr. Emily Baker, PC | Optometrist | 500 Summit Blvd, Broomfield, CO 80021-8219 | 2007-05-04 |
| 1013063007 | Healthstop Acquistions, LLC | Clinic/Center | 500 Summit Blvd, Broomfield, CO 80021-8219 | 2007-01-25 |
| 1063439347 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 500 Summit Blvd, Broomfield, CO 80021-8219 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941934 | Denver Restorative Dentistry Pllc | Dentist | 8181 Arista Place, Suite 140, Broomfield, CO 80021 | 2019-09-19 |
| 1205490398 | Amber Kay Kisser | Occupational Therapist | 7770 W 101st Ave, Westminster, CO 80021 | 2019-04-24 |
| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| 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 |
|---|---|---|---|---|
| 1922579465 | Susan Candace Cruickshank | Pharmacist | 16453 Alcott Pl, Broomfield, CO 80023-8920 | 2018-12-10 |
| 1447776604 | James Cheang | Pharmacist | 557 Burbank St., Suite Q, Broomfield, CO 80219 | 2017-08-19 |
| 1285095521 | Ellen Balkema | Pharmacist | 557 Burbank St Unit Q, Broomfield, CO 80020-7118 | 2016-03-15 |
| 1821464504 | Andrew Michael Gonzales | Pharmacist | 9864 Iris St, Broomfield, CO 80021-4268 | 2015-08-17 |
| 1881011716 | Stacey Amanda Smith | Pharmacist | 4468 Eagle River Run, Broomfield, CO 80023-8753 | 2014-03-28 |
| 1073939229 | Mary E Kliewer | Pharmacist | 13456 Via Varra Unit 209, Broomfield, CO 80020-9027 | 2014-03-12 |
| 1407271083 | Shawn Mitchell Miller | Pharmacist | 223 Berthoud Trl, Broomfield, CO 80020-9677 | 2014-02-19 |
| 1114355401 | Brenda Ochylski | Pharmacist | 4947 Buffalo Grass Loop, Broomfield, CO 80023-4623 | 2013-10-23 |
| 1093158149 | Leminh P Nguyen | Pharmacist | 1150 Us Highway 287, Broomfield, CO 80020-7001 | 2013-04-08 |
| 1619245891 | James Richard Garcia | Pharmacist | 905 Mesa Ct, Broomfield, CO 80020-1834 | 2011-12-02 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80021 |
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| 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.