Active NPI
Carl W. Booker, RPH
- Pharmacist
- Denver, CO
National Provider Identifier
1174738579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13077
- Practice address
- 1055 Clermont St
Denver, CO 80220-3808 - Phone
- (303) 399-8020
- Fax
- (303) 393-5161
- NPI assigned
- May 11, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13077 | CO | Primary |
| Pharmacist | 183500000X | 13184 | LA |
Addresses
Primary practice location
1055 Clermont St
Denver, CO 80220-3808
Mailing address
8505 E Alameda Ave Unit 3428
Denver, CO 80230-6071
Phone (303) 856-3209
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13077 | CO | MD | Pharmacist |
| 13184 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174738579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8505 E ALAMEDA AVE UNIT 3428",
"city": "DENVER",
"state": "CO",
"postal_code": "802306071",
"telephone_number": "303-856-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 CLERMONT ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802203808",
"telephone_number": "303-399-8020",
"fax_number": "303-393-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKER",
"first_name": "CARL",
"middle_name": "W.",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "13077",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "13184",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.