Provider Demographics
NPI:1225679731
Name:JONES, CHARLES WAYNE (RPH)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:WAYNE
Last Name:JONES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4716 BEELER CT APT 401
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-4477
Mailing Address - Country:US
Mailing Address - Phone:479-531-5019
Mailing Address - Fax:
Practice Address - Street 1:7800 SMITH RD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1719
Practice Address - Country:US
Practice Address - Phone:720-941-0411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-05
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO24764183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist