Jillian Marie Mullendore, PHARMD, RPH

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

PHA.0019888 Issued in CO

Practice address

5200 Hahns Peak Dr
Loveland, CO 80538-8852

Phone

(970) 962-4900

Fax

(970) 221-5206

NPI assigned

Jul 18, 2013

Last updated

Mar 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jillian Marie Koczela Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Veterans Affairs

  • Licensed Practical Nurse
  • Loveland, CO
  • NPI 1942969712
  NPD

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1477995595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST BLDG I",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-221-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 HAHNS PEAK DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388852",
            "telephone_number": "970-962-4900",
            "fax_number": "970-221-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENDORE",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "PHA.0019888",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CO",
            "license": "PHA.0019888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "KOCZELA",
            "middle_name": "MARIE",
            "credential": "PHARMD, RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chris Mroz, RPH
• MRSC Co Aspen House Master Tenant, LLC (Aspen House Memory Care Assisted Living)
• Thomas C Mueller, MD
• Madison Lynn Muenster
• Mayda Mujica
• Lindsey R Mullins, LPC
• Sarah A Mumford, OTR/L, CHT
• Mums Lactation LLC (Mums Lactation)
• Thomas Eugene Munholland, LAC, MAC, LPCC, CRC
• Emma Murphy

• Ambulatory Care Pharmacist in Loveland, CO
• Providers in Loveland, CO by specialty
• Ambulatory Care Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.