Jay Lidsky
NPI 1164753331ActiveIndividual· Pharmacist, Nutrition Support· Aspen, CO
Pharmacist, Nutrition Support in Aspen, Colorado, licensed in CO and FL, with an NPI issued in January 2010.
Overview
| NPI | 1164753331 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 27, 2010 |
| Last updated in NPPES | Jul 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Nutrition Support Primary | 1835N1003X | 18757 | CO |
| Pharmacist | 183500000X | PS17282 | FL |
| Pharmacist, Nutrition Support | 1835N1003X | PU1952 | FL |
| Pharmacist | 183500000X | 18757 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|