MS. JENNIFER SU


Address: 3600 Table Mesa Dr, Boulder, CO 80305
Phone: 3034994244

MS. JENNIFER SU (NPI# 1750553483) 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) 1750553483
Entity Type Individual
Full Name MS. JENNIFER SU
Credential R.PH.
Practice Address 3600 Table Mesa Dr
Boulder
CO 80305
Practice Telephone 3034994244
Mailing Telephone 3034994244
Mailing Fax Number 3034972204
Enumeration Date 2008-04-02
Last Update Date 2020-01-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
14571 CO Pharmacy Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1210 S Boston St, Denver, CO 802472348 7207479819

Other Providers JENNIFER SU

NPI Name Taxonomy Address Enumeration
1871594218 Jennifer M Su Obstetrics & Gynecology 2712 Plaza Dr, Jefferson City, MO 65109-1147 2005-08-09
1548510209 Jennifer Su Pharmacist 5737 Main St, Flushing, NY 11355-5332 2012-09-10
1437391901 Jennifer Su Pediatrics 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 2009-03-30

Office Location

Street Address 3600 TABLE MESA DR
City BOULDER
State CO
Zip Code 80305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477589943 Dillon Companies LLC Durable Medical Equipment & Medical Supplies 3600 Table Mesa Dr, Boulder, CO 80305 2006-06-24
1174967996 Carol R Wissolik Pharmacist 3600 Table Mesa Dr, Boulder, CO 80305-5800 2013-04-23
1285077271 Yonas W Gebremariam Pharmacist 3600 Table Mesa Dr, Boulder, CO 80305-5800 2013-04-09
1982910451 Kerri Walters Pharmacist 3600 Table Mesa Dr, Boulder, CO 80305-5800 2010-08-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538698923 Carian Mclean Registered Nurse 1013 Berea Dr, Boulder, CO 80305 2017-06-08
1548629439 Kimberly Norquist Dental Hygienist 661 S. Broadway St, Boulder, CO 80305 2016-02-19
1871981266 Kathleen Anne Stone Registered Nurse 3680 Silver Plume Lane, Boulder, CO 80305 2015-01-07
1104235779 Joyce Larson Marriage & Family Therapist 1190 S Lashley Ln, Boulder, CO 80305 2014-08-07
1982035788 Virginia Pleasants Vandenbergh Counselor 4760 Ludlow St, Boulder, CO 80305 2013-12-03
1790992550 Jasjit Singh Gill Pharmacist The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 2007-05-17
1477768299 Stephen W Laycock Dentist 4150 Darley Ave., Suite 7, Boulder, CO 80305 2007-05-14
1871614560 Steven Leslie Buffer Dentist 385 Broadway St, Boulder, CO 80305 2007-04-02
1801927793 Jeffrey Dann Acupuncturist 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 2007-03-09
1235292145 Pharmaca Integrative Pharmacy Exclusive Provider Organization 645 South Boulder, Boulder, CO 80305 2006-12-19
Find all providers in zip 80305

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245479377 Susan E Mead Pharmacist 18th and Wardenburg Drive, University of Colorado, Boulder, CO 80309 2009-02-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285261479 Jennifer Elizabeth Jackson Pharmacist 4675 W 37th Ave Apt 202, Denver, CO 80212-2079 2020-03-26
1427544139 Douglas Norman Fish Pharmacist 6552 Starlight Dr, Morrison, CO 80465-2711 2018-07-05
1508366576 Converge Health, LLC Pharmacist 4410 Orofino Pl, Castle Rock, CO 80108 2018-02-16
1417488776 Cynthia Love Pursell Pharmacist 910 Rush Drive, Salida, CO 81201 2017-03-27
1790237238 Melissa Linda Hubbard Pharmacist 12484 Black Hills Dr, Peyton, CO 80831-4420 2016-11-01
1184015851 Liban Warsame Pharmacist 2797 Wewatta Way Unit 2049, Denver, CO 80216-3644 2015-02-16
1962800128 Michael Woodley Pharmacist 1110 Edenhurst Ct, Monument, CO 80132-8484 2014-12-19
1588062277 Lesley Brooke Liebig Pharmacist 1625 E Stuart St Apt E47, Fort Collins, CO 80525-1339 2014-12-11
1609283837 Lucas Smith Pharmacist 403 Us Highway 24 South, Buena Vista, CO 81211 2014-07-21
1457788366 Marianna Yanashyan Pharmacist 2500 S Havana Ave, Aurora, CO 80014 2013-10-09
Find all providers with the same taxonomy

Competitor

Search similar providers

City BOULDER
Zip Code 80305

Improve Information

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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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