Active NPI
Rose Cecilia Colucci, PHARMD
- Ambulatory Care Pharmacist
- Queen Creek, AZ
National Provider Identifier
1255845020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- S023062
- Practice address
- 21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709 - Phone
- (480) 512-3700
- NPI assigned
- Nov 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | S023062 | AZ | Primary |
Addresses
Primary practice location
21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709
Mailing address
9807 Fremont St
Livonia, MI 48150-3075
Phone (734) 716-2760
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S023062 | AZ | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512000000000",
"number": "1255845020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9807 FREMONT ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503075",
"telephone_number": "734-716-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21772 S ELLSWORTH LOOP RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851427709",
"telephone_number": "480-512-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLUCCI",
"first_name": "ROSE",
"middle_name": "CECILIA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-30",
"last_updated": "2017-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "AZ",
"license": "S023062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.