Kylee Goldsmith
Individual provider Active NPI Pharmacist · Firestone, CO
NPI 1467098541 · NPPES record last updated Nov 22, 2019
Key facts
- NPI
- 1467098541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 021310 (CO)
- Practice address
- 5962 Firestone Blvd
Firestone, CO 80504-6606 - Phone
- (303) 532-8069
- NPI assigned
- Nov 22, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021310 | CO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 021310 | CO | Yes |
Addresses
Primary practice location
5962 Firestone Blvd
Firestone, CO 80504-6606
Mailing address
5962 Firestone Blvd
Firestone, CO 80504-6606
Other providers in Firestone, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.