1. Home
  2. Directory
  3. Colorado
  4. Boulder
  5. Pharmacist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEREMIAH MICHAEL STELLISH RPH
NPI 1669118808
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Boulder, CO

Active since May 10, 2022
3600 TABLE MESA DR, BOULDER, CO 80305(303) 499-4244(303) 497-2204 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, May 10, 2022 (2 updates tracked since 2022).

About Jeremiah Michael Stellish Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMIAH MICHAEL STELLISH RPH (NPI 1669118808) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Boulder, Colorado, licensed in Colorado (14838) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1669118808
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameJEREMIAH MICHAEL STELLISHCredential: RPH
Location Address3600 TABLE MESA DRBoulder, CO 80305-5895
Mailing Address19566 W 56th DrGolden, CO 80403-2167 · (303) 905-7143
Phone(303) 499-4244
Fax(303) 497-2204
Sole ProprietorNo
Enumeration DateMay 10, 2022
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1669118808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in CO · 14838
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.
Also ListedPharmacistTaxonomy 183500000X · License 14838 (CO)
3600 TABLE MESA DR, Boulder, CO 80305
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL R WISSOLIK RP
Pharmacist
3600 TABLE MESA DR
BOULDER, CO 80305
Boulder County (303) 499-4244
MICHAEL DIAZ PHARMD
Pharmacist
3600 TABLE MESA DR
BOULDER, CO 80305
Boulder County (303) 499-4244
YONAS W GEBREMARIAM PHARMD
Pharmacist
3600 TABLE MESA DR
BOULDER, CO 80305
Boulder County (303) 499-4244
DILLON COMPANIES LLC
Pharmacy (Community/Retail Pharmacy)
3600 TABLE MESA DR
BOULDER, CO 80305
Boulder County (303) 499-4244
MS. JENNIFER SU R.PH.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3600 TABLE MESA DR
BOULDER, CO 80305
Boulder County (303) 499-4244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremiah Stellish's NPI number?

The NPI number for Jeremiah Stellish is 1669118808. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Jeremiah Stellish located?

Jeremiah Stellish practices at 3600 Table Mesa Dr, Boulder, CO 80305. The listed phone number is (303) 499-4244.

What is Jeremiah Stellish's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jeremiah Stellish was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.