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1801304068 NPI number — VICTORIA KENE RERICK PHARM.D.

NPI Number: 1801304068
Health Care Provider/Practitioner: VICTORIA KENE RERICK PHARM.D.

Information about “1801304068” NPI (VICTORIA KENE RERICK PHARM.D.) exists in 1801304068 in HTML format HTML  |  1801304068 in plain Text format TXT  |  1801304068 in PDF (Portable Document Format) PDF  |  1801304068 in an XML format XML  formats.

NPI Number : 1801304068 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801304068",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RERICK",
    "FirstName": "VICTORIA",
    "MiddleName": "KENE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARM.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RERICK",
    "OtherFirstName": "TORI",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "603 KEN PRATT BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONGMONT",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80501-6419",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-827-3480",
    "MailingAddressFaxNumber": "303-827-3540",
    "FirstLinePracticeLocationAddress": "603 KEN PRATT BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LONGMONT",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80501-6419",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-827-3480",
    "PracticeLocationAddressFaxNumber": "303-827-3540",
    "EnumerationDate": "01/22/2018",
    "LastUpdateDate": "01/22/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "PHA-21333",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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