Individual provider Active NPI

Matthew Jon Makelky Sr., PHARMD

  • Pharmacist
  • Aurora, CO
National Provider Identifier
1306360565
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21829 Issued in CO
Practice address
12850 E Montview Blvd Ste C238
Aurora, CO 80045-2605
Phone
(303) 957-7587
Fax
(303) 724-2627
NPI assigned
Jul 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21829 CO Primary

Addresses

Primary practice location

12850 E Montview Blvd Ste C238
Aurora, CO 80045-2605

Mailing address

12850 E Montview Blvd Ste C238
Aurora, CO 80045-2605
Phone (303) 957-7587

Other practice location 1

555 Prospect Ave
Estes Park, CO 80517-6312
Phone (970) 586-2317

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

LicenseStateTypeSpecialty
21829COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306360565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 E MONTVIEW BLVD STE C238",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452605",
            "telephone_number": "303-957-7587",
            "fax_number": "303-724-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 E MONTVIEW BLVD STE C238",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452605",
            "telephone_number": "303-957-7587",
            "fax_number": "303-724-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Estes Park",
            "state": "CO",
            "postal_code": "805176312",
            "country_code": "US",
            "telephone_number": "970-586-2317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKELKY",
        "first_name": "MATTHEW",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "21829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.