Individual provider Active NPI

Muna Nuredin, PHARMD

  • Pharmacist
  • Aurora, CO
National Provider Identifier
1568031391
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA.0019286 Issued in CO
Practice address
10180 E Colfax Ave Ste 150
Aurora, CO 80010-5042
Phone
(303) 900-8639
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA.0019286 CO Primary

Addresses

Primary practice location

10180 E Colfax Ave Ste 150
Aurora, CO 80010-5042

Mailing address

12702 W Virginia Ave
Lakewood, CO 80228-2611

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PHA.0019286COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mango House Current Accepting new patients
Mango House Current Accepting new patients

Locations

10180 E Colfax Ave
Ste 150
Aurora, CO 80010
Phone (303) 900-8639

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1568031391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12702 W VIRGINIA AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 E COLFAX AVE STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800105042",
            "telephone_number": "303-900-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUREDIN",
        "first_name": "MUNA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0019286",
            "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 Jun 24, 2021; 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.