Active NPI
Marisa Dawn Hulsey, PHARMD
- Pharmacist
- Aurora, CO
National Provider Identifier
1689157455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0022389
- Practice address
- 12051 E Mississippi Ave
Aurora, CO 80012-2834 - Phone
- (303) 340-8860
- NPI assigned
- Sep 7, 2018
- 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 | 0022389 | CO | Primary |
Addresses
Primary practice location
12051 E Mississippi Ave
Aurora, CO 80012-2834
Mailing address
916 Xavier St
Denver, CO 80204-2833
Phone (575) 313-0365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0022389 | Other | CO | PHARMACIST LICENSE NUMBER |
Other names 1
- Marisa Dawn Eckstein
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0022389 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1689157455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 XAVIER ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802042833",
"telephone_number": "575-313-0365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12051 E MISSISSIPPI AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800122834",
"telephone_number": "303-340-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULSEY",
"first_name": "MARISA",
"middle_name": "DAWN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0022389",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "0022389",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARISA",
"last_name": "ECKSTEIN",
"middle_name": "DAWN",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.