JERRY PATRICK ARCHULETA PHARMACIST NPI 1003448895

Pharmacist in Alamosa, CO

Individual Male Pharmacist

About JERRY ARCHULETA

Jerry Archuleta is a provider established in Alamosa, Colorado and his medical specialization is pharmacist. The NPI number of Jerry Archuleta is 1003448895 and was assigned on February 2020. The practitioner's primary taxonomy code is 183500000X with license number 11784 (CO). The provider is registered as an individual and his NPI record was last updated February 2020.

NPI

1003448895

Provider Name JERRY PATRICK ARCHULETA PHARMACIST
Provider Location Address1203 MAIN ST ALAMOSA, CO 81101
Provider Mailing Address1203 MAIN ST ALAMOSA, CO 81101
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-10-2020
Last Update Date02-10-2020

Primary Taxonomy

Taxonomy Code183500000X
ClassificationPharmacist
TypePharmacy Service Providers
License No.11784
License StateCO
Taxonomy DescriptionAn 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.

Business Address

JERRY PATRICK ARCHULETA PHARMACIST
1203 MAIN ST
ALAMOSA, CO
ZIP 81101
Phone: (719) 589-3165
Fax: (719) 589-3270

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Mailing Address

JERRY PATRICK ARCHULETA PHARMACIST
1203 MAIN ST
ALAMOSA, CO
ZIP 81101
Phone: (719) 589-3165
Fax: (719) 589-3270

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205841558WALGREEN CO
Organization
Pharmacy (Community/Retail Pharmacy)1203 MAIN ST
ALAMOSA, CO 81101
(719) 589-2325
1558876755 RICHARD A SILVA
Individual
Pharmacist1203 MAIN ST
ALAMOSA, CO 81101
(719) 589-3165
1699042812 HILLARY ANN CHARMICHAEL PHARMD
Individual
Pharmacist1203 MAIN ST
ALAMOSA, CO 81101
(719) 589-3165
1902173107 ANASTACIO J DURAN PHARM.D
Individual
Pharmacist1203 MAIN ST
ALAMOSA, CO 81101
(719) 376-2023

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.