MR. JEFFREY L SUGARMAN (NPI# 1699052902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699052902 |
Entity Type | Individual |
Full Name | MR. JEFFREY L SUGARMAN |
Credential | RPH |
Practice Address |
5755 Constitution Ave Colorado Springs CO 80915-1220 |
Mailing Address |
2735 Charlottesville Dr Colorado Springs CO 80922-1147 |
Practice Telephone | 7195919929 |
Practice Fax Number | 7195915829 |
Mailing Telephone | 7195731177 |
Enumeration Date | 2011-11-15 |
Last Update Date | 2011-11-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
14536 | CO | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | STATE OF COLORADO DORA ACTIVE PHARMACIST LICENSE NO. | 14536 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568476299 | Jeffrey M Sugarman | Anesthesiology | 1676 Sunset Ave, Utica, NY 13502-5416 | 2006-07-28 |
1548255482 | Jeffrey Louis Sugarman | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2005-09-16 |
Street Address |
5755 CONSTITUTION AVE |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80915-1220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336154673 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5755 Constitution Ave, Colorado Springs, CO 80915-1220 | 2006-07-29 |
1154803062 | Cherice Marie Laughlin | Pharmacist | 5755 Constitution Ave, Colorado Springs, CO 80915-1220 | 2018-09-06 |
1699189209 | Ana Delgado | Pharmacist | 5755 Constitution Ave, Colorado Springs, CO 80915-1220 | 2014-06-12 |
1205110608 | Matthew E Likovich | Pharmacist | 5755 Constitution Ave, Colorado Springs, CO 80915-1220 | 2011-10-04 |
1043590771 | Christian E Schumann | Pharmacist | 5755 Constitution Ave, Colorado Springs, CO 80915-1220 | 2011-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073911418 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5050 Edison Ave, Suite 116, Colorado Springs, CO 80915 | 2014-12-17 |
1114202041 | Stateserv Medical of Colorado LLC | Durable Medical Equipment & Medical Supplies | 920 Ford St., Suite A, Colorado Springs, CO 80915 | 2011-10-11 |
1447550355 | Andrew Timothy Huwe | Pharmacist | 665 N Murray Blvd, Colorado Springs, CO 80915 | 2010-10-26 |
1891005013 | Community Services & Supports | Day Training, Developmentally Disabled Services | 4575 Galley Rd., Suite 400a, Colorado Springs, CO 80915 | 2010-10-21 |
1891022505 | South Powers Dental Prof LLC | Dentist | 1580 Space Center Drive, Suite 107, Colorado Springs, CO 80915 | 2009-11-17 |
1720212780 | Nicole Marie Malyj | Counselor | 1520 E. Owen Circle, Colorado Springs, CO 80915 | 2009-05-06 |
1134325848 | Catherine M Cortese | Audiologist | 1695 Leoti Drive, Colorado Springs, CO 80915 | 2007-06-21 |
1306965108 | Jeanie Bein | Psychologist | 4520 Brady Rd, Colorado Springs, CO 80915 | 2007-03-29 |
1982749909 | Clint L Kasza | Optometrist | Vision Center At Wal-mart, 1575 Space Center Drive, Colorado Springs, CO 80915 | 2007-02-20 |
1013063130 | Miriam Owens | Counselor | 1611 Sanderson Avenue, Colorado Springs, CO 80915 | 2007-01-25 |
Find all providers in zip 80915 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174891626 | Sabrina Leah Grgeory | Pharmacist | 5901 Brennan Ave, Colorado Springs, CO 80923-4100 | 2011-12-12 |
1992086789 | Mark H Noble | Pharmacist | 2010 N El Paso St, Colorado Springs, CO 80907-7105 | 2011-09-07 |
1871130328 | Frieda Martha Martin | Pharmacist | 555 E Costilla St, Colorado Springs, CO 80903-3764 | 2019-12-03 |
1063975274 | Emily Carroll | Pharmacist | 5550 E Woodmen Rd, Colorado Springs, CO 80920-5257 | 2019-04-13 |
1891242228 | Joseph Kalis | Pharmacist | 525 N Foote Ave, Colorado Springs, CO 80909-4501 | 2016-09-01 |
1700276730 | Theresa Gilbert | Pharmacist | 559 Vincent St, Colorado Springs, CO 80914-1541 | 2015-01-29 |
1477983187 | Kate Deen Taucher | Pharmacist | 525 N Foote Ave, Suite 202, Colorado Springs, CO 80909-4501 | 2013-11-15 |
1619245040 | Sandra Gregoire | Pharmacist | 920 N Circle Dr, Colorado Springs, CO 80909-5038 | 2011-12-13 |
1225332737 | Seth A Mayer | Pharmacist | 1650 Cochrane Cir, Colorado Springs, CO 80913-4613 | 2010-12-28 |
1043446271 | Rachell Brooke Jaworski | Pharmacist | 3141 Centennial Blvd, Colorado Springs Va, Colorado Springs, CO 80907-4094 | 2009-06-02 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80915 |
Please comment or provide details below to improve the information on MR. JEFFREY L SUGARMAN.
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.