Active NPI
Ian Thomas Booker, DOCTOR OF PHARMACY
- Pharmacist
- Aurora, CO
National Provider Identifier
1093153546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19666
- Practice address
- 15301 E Iliff Ave
Aurora, CO 80013-1013 - Phone
- (303) 752-4911
- NPI assigned
- Jun 6, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 19666 | CO | Primary |
Addresses
Primary practice location
15301 E Iliff Ave
Aurora, CO 80013-1013
Mailing address
8155 E Fairmount Dr Unit 736
Denver, CO 80230-6832
Phone (508) 340-1908
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 |
|---|---|---|---|
| 19666 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1093153546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8155 E FAIRMOUNT DR UNIT 736",
"city": "DENVER",
"state": "CO",
"postal_code": "802306832",
"telephone_number": "508-340-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15301 E ILIFF AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800131013",
"telephone_number": "303-752-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKER",
"first_name": "IAN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-06",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "19666",
"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 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.