Jamie Virginia Hack Gordon, PHARM.D.

Pharmacist · Fort Carson, CO

Individual Active NPI

NPI number 1477835742

Practice location

1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone
(719) 526-7410

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NPI record

NPI
1477835742
Entity type
Individual (Type 1)
Enumeration date
September 13, 2011
Last updated
October 21, 2021
Certified
October 21, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PS45154 FL
Pharmacist 183500000X 0202214400 VA
Pharmacist 183500000X PHA.0023069 CO
Pharmacist 183500000X RP0012244 WV

Mailing address

9855 Hunting TR
Lake Worth, FL 33467-3515
Phone
(561) 968-3330

About Dr. Hack Gordon

Jamie Virginia Hack Gordon, PHARM.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1650 Cochrane Cir, Fort Carson, CO 80913-4613. The NPI number 1477835742 was assigned on September 13, 2011 and the record was last updated on October 21, 2021.

Dr. Hack Gordon lists 4 licenses in the registry: #PS45154 (FL) for Pharmacist; #0202214400 (VA) for Pharmacist; #PHA.0023069 (CO) for Pharmacist; #RP0012244 (WV) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jamie Virginia Hack Gordon, PHARM.D.?

The NPI number is 1477835742.

What is the phone number of Dr. Hack Gordon?

The phone number listed for the practice location is (719) 526-7410.

Where is Dr. Hack Gordon located?

1650 Cochrane Cir, Fort Carson, CO 80913-4613.

What is the taxonomy code for Dr. Hack Gordon?

The primary taxonomy code is 183500000X – Pharmacist; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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