Healthcare Provider Details

I. General information

NPI: 1154235752
Provider Name (Legal Business Name): JADE GILBRIDE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 G RD
GRAND JUNCTION CO
81505-9641
US

IV. Provider business mailing address

2612 LIBERTY LN
GRAND JUNCTION CO
81506-1824
US

V. Phone/Fax

Practice location:
  • Phone: 970-644-3180
  • Fax:
Mailing address:
  • Phone: 719-252-9618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberPHA.0022930
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: