Healthcare Provider Details

I. General information

NPI: 1578697009
Provider Name (Legal Business Name): JEFFREY MCCARTHY PHARMD, BCPP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12605 E 16TH AVE ANSCHUTZ INPATIENT PAVILION, PHARMACY, MAIL STOP F757
AURORA CO
80045-7109
US

IV. Provider business mailing address

1635 KEARNEY ST
DENVER CO
80220-1544
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-4480
  • Fax: 720-848-4474
Mailing address:
  • Phone: 303-246-4311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number16157
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: