Active NPI
Massood Mehni
- Pharmacist
- Denver, CO
National Provider Identifier
1164094884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0023691
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA.0023961 | Other | CO | COLORADO BOARD OF PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PHA.0023691 | CO | MD | Pharmacist |
| PHA.0023961 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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.
-
- Community/Retail Pharmacy
- Denver, CO
- NPI 1639184971
-
- Pharmacy
- Longview, TX
- NPI 1629956545
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.