MS. JENNIFER ELIZABETH NOVOTNY (NPI# 1770850364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770850364 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER ELIZABETH NOVOTNY |
| Credential | PHARMD |
| Practice Address |
1520 W 4th St Pueblo CO 81004-1207 |
| Mailing Address |
1271 N Scandia Dr Pueblo West CO 81007-1305 |
| Practice Telephone | 7194040069 |
| Practice Fax Number | 7194040072 |
| Mailing Telephone | 7195690012 |
| Enumeration Date | 2011-11-26 |
| Last Update Date | 2011-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18140 | CO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841854296 | Jennifer Novotny | Massage Therapist | 307 W Geneseo St Apt A, Lafayette, CO 80026-1105 | 2019-04-30 |
| 1669998464 | Jennifer Diane Novotny | Nurse Practitioner | 3333 S Bannock St Ste 400, Englewood, CO 80110-2436 | 2017-08-14 |
| Street Address |
1520 W 4TH ST |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023023389 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1520 W 4th St, Pueblo, CO 81004-1207 | 2006-07-29 |
| 1043824808 | Joshua C Dillon | Pharmacist | 1520 W 4th St, Pueblo, CO 81004-1207 | 2020-08-31 |
| 1922376433 | Crayton C Hayes | Pharmacist | 1520 W 4th St, Pueblo, CO 81004-1207 | 2011-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| 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 |
|---|---|---|---|---|
| 1861031502 | James Mark Faoro | Pharmacist | 27197 Torchey Way, Pueblo, CO 81006-9757 | 2019-12-28 |
| 1710445424 | Linda Jean Holzrichter | Pharmacist | 1925 E Orman Ave Ste 102, Pueblo, CO 81004-3500 | 2019-03-12 |
| 1225529811 | Megan Keller | Pharmacist | 30393 Everett Rd, Pueblo, CO 81006-9548 | 2018-05-20 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1285161802 | John David Buglewicz | Pharmacist | 1545 S Prairie Ave, Pueblo, CO 81005-2312 | 2017-05-13 |
| 1689114118 | Chandler Follett | Pharmacist | 4743 Eagleridge Cir Apt 305, Pueblo, CO 81008-2277 | 2017-03-02 |
| 1184174229 | Russell Smith | Pharmacist | 2114 Chatalet Ln Apt L, Pueblo, CO 81005-4602 | 2016-10-13 |
| 1134532377 | Karl Aguilera | Pharmacist | 10 Hampton Ln, Pueblo, CO 81001-1722 | 2014-06-05 |
| 1316218035 | Gregory Rice | Pharmacist | 41 Montebello Rd Ste 122, Pueblo, CO 81001-1366 | 2012-01-26 |
| 1023387206 | Adetola A Obiwole | Pharmacist | 4602 N Elizabeth Street Ste. 190, Pueblo, CO 81008-2093 | 2011-12-18 |
| Find all providers in PUEBLO | ||||
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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.