Individual provider Active NPI

I Joelah Landman

  • Pharmacist
  • Commerce City, CO
National Provider Identifier
1558926790
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12092 Issued in CO
Practice address
5990 Dahlia St
Commerce City, CO 80022-3708
Phone
(303) 287-0909
Fax
(303) 287-2727
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12092 CO Primary

Addresses

Primary practice location

5990 Dahlia St
Commerce City, CO 80022-3708

Mailing address

5990 Dahlia St
Commerce City, CO 80022-3708
Phone (303) 287-0909

Other identifiers 1

IdentifierTypeStateIssuer
18MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address j0l06xp.s02752.us@wal-mart.com Direct

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

LicenseStateTypeSpecialty
12092COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1558926790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5990 DAHLIA ST",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223708",
            "telephone_number": "303-287-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 DAHLIA ST",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800223708",
            "telephone_number": "303-287-0909",
            "fax_number": "303-287-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDMAN",
        "first_name": "I",
        "middle_name": "JOELAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "12092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "j0l06xp.s02752.us@wal-mart.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5990 Dahlia St",
            "city": "Commerce City",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800223708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.