Individual provider Active NPI

Kenneth Gene Leutz, PHARMD, BCPS

  • Pharmacist
  • Denver, CO
National Provider Identifier
1376052779
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23509 Issued in CO
Practice address
1001 Yosemite St Ste 100
Denver, CO 80230-6003
Phone
(303) 602-4545
NPI assigned
Sep 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S022825 AZ
Pharmacist 183500000X 23509 CO Primary

Addresses

Primary practice location

1001 Yosemite St Ste 100
Denver, CO 80230-6003

Mailing address

1001 Yosemite St Ste 100
Denver, CO 80230-6003
Phone (303) 602-4545

Other practice location 1

174 W Highway 287
Florence, AZ 85132
Phone (520) 518-5025

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
S022825AZMDPharmacist
23509COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1376052779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 YOSEMITE ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306003",
            "telephone_number": "303-602-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 YOSEMITE ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306003",
            "telephone_number": "303-602-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 W Highway 287",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AZ",
            "postal_code": "85132",
            "country_code": "US",
            "telephone_number": "520-518-5025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEUTZ",
        "first_name": "KENNETH",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-28",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S022825",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "23509",
            "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 Sep 2, 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.

Verify at the official NPI Registry.