Active NPI
Kelly C Bailey
- Pharmacist
- Aurora, CO
National Provider Identifier
1053672170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16552
- Practice address
- 7400 S Gartrell Rd
T1976
Aurora, CO 80016-4236 - Phone
- (303) 209-2828
- NPI assigned
- Jun 5, 2012
- Last updated
- Jun 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16552 | CO | Primary |
Addresses
Primary practice location
7400 S Gartrell Rd
T1976
Aurora, CO 80016-4236
Mailing address
22048 Pebble Brook LN
Parker, CO 80138-8382
Phone (303) 250-2353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16552 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338854400000",
"number": "1053672170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22048 PEBBLE BROOK LN",
"city": "PARKER",
"state": "CO",
"postal_code": "801388382",
"telephone_number": "303-250-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 S GARTRELL RD",
"address_2": "T1976",
"city": "AURORA",
"state": "CO",
"postal_code": "800164236",
"telephone_number": "303-209-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "KELLY",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-05",
"last_updated": "2012-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "16552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.