Active NPI
Mariana Cervelin
- Pharmacist
- Denver, CO
National Provider Identifier
1215486808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0023179
- Practice address
- 2760 S Kearney St
Denver, CO 80222-7021 - Phone
- (646) 573-4757
- NPI assigned
- Sep 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 061808 | NY | |
| Pharmacist | 183500000X | 28RI03808700 | NJ | |
| Pharmacist | 183500000X | PHA.0023179 | CO | Primary |
Addresses
Primary practice location
2760 S Kearney St
Denver, CO 80222-7021
Mailing address
2760 S Kearney St
Denver, CO 80222-7021
Phone (646) 573-4757
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 |
|---|---|---|---|
| 061808 | NY | MD | Dentist |
| PHA.0023179 | CO | MD | Pharmacist |
| 28RI03808700 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Avenue Drugs Inc | Past | Accepting new patients |
Organizations & group practices 1
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
- Bronx, NY
- NPI 1154867752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1215486808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 S KEARNEY ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802227021",
"telephone_number": "646-573-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 S KEARNEY ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802227021",
"telephone_number": "646-573-4757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVELIN",
"first_name": "MARIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-24",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061808",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03808700",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0023179",
"primary": true
}
],
"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 Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.