Jamie Virginia Hack Gordon, PHARM.D.
NPI 1477835742ActiveIndividual· Pharmacist· Fort Carson, CO
Pharmacist (PHARM.D.) in Fort Carson, Colorado, licensed in FL, VA, CO and WV, with an NPI issued in September 2011.
Overview
| NPI | 1477835742 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 13, 2011 |
| Last updated in NPPES | Oct 21, 2021 |
| Certified by provider | Oct 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | PS45154 | FL |
| Pharmacist | 183500000X | 0202214400 | VA |
| Pharmacist | 183500000X | PHA.0023069 | CO |
| Pharmacist | 183500000X | RP0012244 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
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