Healthcare Provider Details

I. General information

NPI: 1245675578
Provider Name (Legal Business Name): CATHERINE ELISE JORDAN RPH, PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2013
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 CASTLE VALLEY BLVD
NEW CASTLE CO
81647-9441
US

IV. Provider business mailing address

850 CASTLE VALLEY BLVD
NEW CASTLE CO
81647-9441
US

V. Phone/Fax

Practice location:
  • Phone: 970-984-2067
  • Fax: 970-984-2103
Mailing address:
  • Phone: 970-984-2067
  • Fax: 970-984-2103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHA.0019252
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: