Active NPI
Andrew James Vander Kooi, PHARMD
- Pharmacist
- Lakewood, CO
National Provider Identifier
1659648442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16338
- Practice address
- 9485 W Colfax Ave
Lakewood, CO 80215-3918 - Phone
- (303) 432-5925
- NPI assigned
- Nov 21, 2011
- Sex
- Male
- 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 | 16338 | CO | Primary |
Addresses
Primary practice location
9485 W Colfax Ave
Lakewood, CO 80215-3918
Mailing address
8618 Ellis CT
Arvada, CO 80005-5874
Phone (303) 912-1950
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)
- Enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16338 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Center for Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lakewood, CO
- NPI 1215059860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1659648442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8618 ELLIS CT",
"city": "ARVADA",
"state": "CO",
"postal_code": "800055874",
"telephone_number": "303-912-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9485 W COLFAX AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802153918",
"telephone_number": "303-432-5925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDER KOOI",
"first_name": "ANDREW",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-21",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "16338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.