Active NPI
Manmeesh Kaur Julka
- Pharmacist
- Fort Collins, CO
National Provider Identifier
1649921842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23792
- Practice address
- 105 W Troutman Pkwy
Fort Collins, CO 80525-3038 - Phone
- (970) 223-0840
- NPI assigned
- Jan 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23792 | CO | Primary |
Addresses
Primary practice location
105 W Troutman Pkwy
Fort Collins, CO 80525-3038
Mailing address
4752 Brenton Dr
Fort Collins, CO 80524-6064
Phone (262) 844-6668
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 |
|---|---|---|---|
| 23792 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1649921842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4752 BRENTON DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805246064",
"telephone_number": "262-844-6668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W TROUTMAN PKWY",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253038",
"telephone_number": "970-223-0840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULKA",
"first_name": "MANMEESH",
"middle_name": "KAUR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "23792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.