MR. JORDAN SCOTT RICARD (NPI# 1659681195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659681195 |
| Entity Type | Individual |
| Full Name | MR. JORDAN SCOTT RICARD |
| Credential | PHARM.D. |
| Practice Address |
1710 1st St Alamosa CO 81101-2302 |
| Practice Telephone | 7195893633 |
| Mailing Telephone | 7195893633 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18912 | CO | Pharmacy Service Providers |
| Street Address |
1710 1ST ST |
| City | ALAMOSA |
| State | CO |
| Zip Code | 81101-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801883459 | Valley-wide Health Systems, Inc | Clinic/Center | 1710 1st St, Alamosa, CO 81101-2302 | 2005-09-29 |
| 1245838663 | Brandon Fritz | Pharmacist | 1710 1st St, Alamosa, CO 81101-2302 | 2020-10-16 |
| 1225338767 | Valley Wide Health Services, Inc | Pharmacist | 1710 1st St, Alamosa, CO 81101-2302 | 2010-11-01 |
| 1689984924 | Eric Wolfe | Pharmacist | 1710 1st St, Alamosa, CO 81101-2302 | 2010-10-20 |
| 1538492277 | Justin L Hanel | Pharmacist | 1710 1st St, Alamosa, CO 81101-2302 | 2009-09-14 |
| 1760685580 | Tammy R. Gregg | Family Medicine | 1710 1st St, Alamosa, CO 81101-2302 | 2007-06-08 |
| 1750364774 | Valley-wide Health Systems,inc | Clinic/Center | 1710 1st St, Alamosa, CO 81101-2302 | 2005-11-23 |
| 1013908953 | James Michael Crownover | Nurse Practitioner | 1710 1st St, Alamosa, CO 81101-2302 | 2005-10-31 |
| 1558351460 | Edward Medina | Physician Assistant | 1710 1st St, Alamosa, CO 81101-2302 | 2005-10-24 |
| 1366432379 | Joann Kunugi | Physician Assistant | 1710 1st St, Alamosa, CO 81101-2302 | 2005-10-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909325 | Tiffanie Nicole Hoover | Nurse Practitioner | Slv Health, 106 Blanca Ave, Alamosa, CO 81101 | 2018-04-11 |
| 1629503669 | Early Oral Health Interception LLC | Dental Hygienist | 235 Carson Avenue, Alamosa, CO 81101 | 2017-04-27 |
| 1477917391 | Mary Sawyer | Nurse Practitioner | San Luis Valley Health106 Blanca Ave, Alamosa, CO 81101 | 2016-04-06 |
| 1508221276 | Kendal W Humes | Counselor | 1460 W 8th Street, Unit 13, Alamosa, CO 81101 | 2015-12-23 |
| 1689096422 | Julia Toczek | Counselor | 8745 County Road 9s, Alamosa, CO 81101 | 2014-01-14 |
| 1275883365 | Michelle Marie Craver | Counselor | 8745 County Road 9 South, Alamosa, CO 81101 | 2012-09-15 |
| 1417193079 | Slv Eye Docs, LLC | Optometrist | 706 Del Sol Dr, Alamosa, CO 81101 | 2008-12-31 |
| 1770753154 | Huh Inc | Hearing Instrument Specialist | 2101 Main St., Ste C Ears 2 U Hearing Aid Services, Alamosa, CO 81101 | 2008-03-03 |
| 1215139613 | Valley-wide Health System, Inc. | Pharmacist | 1710 1st Street, Alamosa, CO 81101 | 2007-06-05 |
| 1821204116 | Valerie Stephanie Gurule-duran | Counselor | 8745 Cr 9 South, Alamosa, CO 81101 | 2007-05-15 |
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| 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 |
|---|---|---|---|---|
| 1821373804 | Kimberly Cordova | Pharmacist | 8745 County Road 9 S Ste 152, Alamosa, CO 81101-9610 | 2011-10-20 |
| 1215139613 | Valley-wide Health System, Inc. | Pharmacist | 1710 1st Street, Alamosa, CO 81101 | 2007-06-05 |
| 1427036904 | Torrie Smith | Pharmacist | 201 Carson Ave, Alamosa, CO 81101-2341 | 2006-01-05 |
| 1245838663 | Brandon Fritz | Pharmacist | 1710 1st St, Alamosa, CO 81101-2302 | 2020-10-16 |
| 1255963716 | Jessica Lynn Pu | Pharmacist | 3333 Clark St, Alamosa, CO 81101-2050 | 2020-02-12 |
| 1003448895 | Jerry Patrick Archuleta | Pharmacist | 1203 Main St, Alamosa, CO 81101-2395 | 2020-02-10 |
| 1699234146 | Daniella Cecilia Roehm | Pharmacist | 3333 Clark St, Alamosa, CO 81101-2050 | 2019-03-14 |
| 1558876755 | Richard A Silva | Pharmacist | 1203 Main St, Alamosa, CO 81101-2395 | 2017-12-10 |
| 1962916536 | Jacinta Candelaria Chavez | Pharmacist | 1301 Main St, Alamosa, CO 81101-2120 | 2017-11-18 |
| 1992221824 | Kelly Michelle Stone | Pharmacist | 3333 Clark St, Alamosa, CO 81101-2050 | 2017-08-22 |
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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.