JENNY LANDIS


Address: 11685 Montgomery Cir, Longmont, CO 80504-5202
Phone: 3036848813

JENNY LANDIS (NPI# 1306112636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306112636
Entity Type Individual
Full Name JENNY LANDIS
Credential RPH
Practice Address 11685 Montgomery Cir
Longmont
CO 80504-5202
Practice Telephone 3036848813
Mailing Telephone 3036848813
Enumeration Date 2012-03-30
Last Update Date 2012-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 13688 CO Pharmacy Service Providers

Office Location

Street Address 11685 MONTGOMERY CIR
City LONGMONT
State CO
Zip Code 80504-5202

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1962913962 Melissa Frick Counselor 10184 E I-25 Frontage Rd, Firestone, CO 80504 2017-10-17
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1912392671 Ashley Lerwick Speech-Language Pathologist 11169 Interstate I25 Frontage Rd, Firestone, CO 80504 2015-03-31
1780077685 Roger Leon Jorgensen Ophthalmology 14222 N 95 Si, Longmont, CO 80504 2015-03-17
1982942090 Carrie Rose Fitzekam Technician 712 Tanagers Circle, Longmont, CO 80504 2013-01-24
1003166976 Jennifer Lynn Mcnerney Speech-Language Pathologist 8197 Miller Dr, Frederick, CO 80504 2012-09-18
1821343450 Allison Luellen Physician Assistant 8350 Colorado Blvd, Suite 160, Firestone, CO 80504 2012-07-19
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255860284 Kate Morgan Pharmacist 1749 Main St Unit D, Longmont, CO 80501-7441 2017-06-04
1124415500 Lisa Witzke Pharmacist 2148 Sherman St, Longmont, CO 80501 2015-04-23
1952707499 Danelle Perricelli Pharmacist 950 Grandview Mdws Dr, M206, Longmont, CO 80503-7741 2014-11-11
1366862500 Brenda Logsdon Pharmacist 1912 Red Cloud Rd, Longmont, CO 80504-1968 2014-04-25
1285918953 Cynthia Lee Smart Pharmacist 1940 Ionosphere St Unit 5, Longmont, CO 80504-8416 2011-09-29
1497038616 Pamela Harre Pharmacist 2320 N Main St, Longmont, CO 80501-1135 2011-09-23
1053611889 Gregory O'malley Pharmacist 1630 Pace St, Longmont, CO 80504-2119 2010-10-27
1114158805 Rodger Paul Wilson Pharmacist 1138 Wyndemere Cir, Longmont, CO 80501-2322 2009-07-29
1073786877 Donald William Prather Pharmacist 13810 Weld County Road 1, Longmont, CO 80504-9303 2008-04-12
1093324642 Angela M Peterson Pharmacist 450 Ken Pratt Blvd, Longmont, CO 80501-8522 2020-07-29
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Competitor

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City LONGMONT
Zip Code 80504

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Dataset Information

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.

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