Active NPI
Monique Hart
- Pharmacist
- Colorado Springs, CO
National Provider Identifier
1558986703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0023144
- Practice address
- 3480 N Academy Blvd
Colorado Springs, CO 80917-5086 - Phone
- (719) 380-9438
- NPI assigned
- Jun 13, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03337824 | OH | |
| Pharmacist | 183500000X | PHA.0023144 | CO | Primary |
Addresses
Primary practice location
3480 N Academy Blvd
Colorado Springs, CO 80917-5086
Mailing address
11148 Falling Snow LN
Colorado Springs, CO 80908-3757
Phone (720) 628-9297
Other practice location 1
10003 Fremont Pike
Perrysburg, OH 43551-3330
Phone (419) 872-8247
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 |
|---|---|---|---|
| PHA.0023144 | CO | MD | Pharmacist |
| 03337824 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1558986703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11148 FALLING SNOW LN",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809083757",
"telephone_number": "720-628-9297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 N ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175086",
"telephone_number": "719-380-9438"
}
],
"practiceLocations": [
{
"address_1": "10003 Fremont Pike",
"address_purpose": "LOCATION",
"city": "Perrysburg",
"state": "OH",
"postal_code": "435513330",
"country_code": "US",
"telephone_number": "419-872-8247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HART",
"first_name": "MONIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-13",
"last_updated": "2020-09-03",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03337824",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0023144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.