Haldun Inc a Colorado Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1280000012 Issued in CO

Legal business name

HALDUN INC A COLORADO CORPORATION

Practice address

6650 W 38TH Ave
Wheat Ridge, CO 80033-4906

Phone

(303) 421-6111

Fax

(303) 431-8320

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Jim Massengill

Title

President

Phone

(303) 421-6111

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Wheat Ridge Professional Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1174600209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334906",
            "telephone_number": "303-421-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334906",
            "telephone_number": "303-421-6111",
            "fax_number": "303-431-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALDUN INC A COLORADO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "MASSENGILL",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-421-6111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "1280000012",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135198",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheat Ridge Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erich Stephen Haezebrouck, PSYD
• Erin Theresa Hagarty, LCSW
• Christina O'Neil Hageman
• Allison Hagen, LCSW
• Michelle Hagood
• Ashley Maureen Hall, MSW
• Harriet Louise Hall, PH.D.
• Kathleen L Hall, LMFT
• Kelly Hall
• Ruth Elizabeth Hall

• Community/Retail Pharmacy in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.