Active NPI
Katie Tuck
- Pharmacist
- Aurora, CO
National Provider Identifier
1376195362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019025992
- Practice address
- 1700 North Wheeling Street (119)
FS-111O
Aurora, CO 80045 - Phone
- (816) 699-1376
- NPI assigned
- Jul 10, 2019
- Last updated
- Jul 10, 2019
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2019025992 | MO | Primary |
Addresses
Primary practice location
1700 North Wheeling Street (119)
FS-111O
Aurora, CO 80045
Mailing address
1550 Detroit St Apt 205
Denver, CO 80206-1543
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 |
|---|---|---|---|
| 2019025992 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1376195362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 DETROIT ST APT 205",
"city": "DENVER",
"state": "CO",
"postal_code": "802061543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NORTH WHEELING STREET (119)",
"address_2": "FS-111O",
"city": "AURORA",
"state": "CO",
"postal_code": "80045",
"telephone_number": "816-699-1376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCK",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-10",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019025992",
"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 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.