Provider Demographics
NPI:1578697009
Name:MCCARTHY, JEFFREY (PHARMD, BCPP)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:PHARMD, BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 KEARNEY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-1544
Mailing Address - Country:US
Mailing Address - Phone:303-246-4311
Mailing Address - Fax:
Practice Address - Street 1:12605 E 16TH AVE
Practice Address - Street 2:ANSCHUTZ INPATIENT PAVILION, PHARMACY, MAIL STOP F757
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7109
Practice Address - Country:US
Practice Address - Phone:720-848-4480
Practice Address - Fax:720-848-4474
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO161571835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric