Individual provider Active NPI

Massood Mehni

  • Pharmacist
  • Denver, CO
National Provider Identifier
1164094884
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA.0023691 Issued in CO
Practice address
2000 E Colfax Ave
Denver, CO 80206-1304
Phone
(303) 331-0917
NPI assigned
Jul 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA.0023961 CO
Pharmacist 183500000X PHA.0023691 CO Primary

Addresses

Primary practice location

2000 E Colfax Ave
Denver, CO 80206-1304

Mailing address

2000 E Colfax Ave
Denver, CO 80206-1304
Phone (303) 331-0917

Other practice location 1

801 16th St # 3
Denver, CO 80202-3205
Phone (303) 571-5314

Other practice location 2

1501 W Main St
El Centro, CA 92243-2211
Phone (760) 352-5731

Other identifiers 1

IdentifierTypeStateIssuer
PHA.0023961OtherCOCOLORADO BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Intercomeplus

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

LicenseStateTypeSpecialty
PHA.0023691COMDPharmacist
PHA.0023961COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Jun 5, 2022 Accepting new patients
Walgreen Co PastSince Jun 5, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1164094884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061304",
            "telephone_number": "303-331-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061304",
            "telephone_number": "303-331-0917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 16th St # 3",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802023205",
            "country_code": "US",
            "telephone_number": "303-571-5314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Main St",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922432211",
            "country_code": "US",
            "telephone_number": "760-352-5731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHNI",
        "first_name": "MASSOOD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0023961",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0023691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO BOARD OF PHARMACY",
            "identifier": "PHA.0023961",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Intercomeplus",
            "affiliation": "N",
            "address_1": "2000 E Colfax Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802061304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.