IndividualActive
Jay Lidsky
NPI 1164753331 · Nutrition Support Pharmacist · Aspen, CO
Provider details
- NPI number
- 1164753331
- Entity type
- Individual
- Primary specialty
- Nutrition Support PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PS17282 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
731 Cemetery Ln
Aspen, CO 81611-1141
Phone: (970) 319-3474
Street-level locationGet directions
Mailing address
731 Cemetery Ln
Aspen, CO 81611-1141
Registry dates
- Enumerated
- 2010-01-27
- Last updated
- 2012-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.