Active NPI
Haley Funk
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Fort Collins, CO
National Provider Identifier
1699236158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 21848
- Practice address
- 2001 Rosen Dr Apt 4-319
Fort Collins, CO 80528-2009 - Phone
- (785) 320-0408
- NPI assigned
- Mar 27, 2019
- 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 | 0021848 | CO | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 21848 | CO | Primary |
Addresses
Primary practice location
2001 Rosen Dr Apt 4-319
Fort Collins, CO 80528-2009
Mailing address
2001 Rosen Dr Apt 4-319
Fort Collins, CO 80528-2009
Phone (785) 320-0408
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 |
|---|---|---|---|
| 0021848 | CO | MD | Pharmacist |
| 21848 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Arts Pharmacy Inc | Current | Accepting new patients | |
| Medical Arts Pharmacy Inc | Current | Accepting new patients |
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.
-
- Long Term Care Pharmacy
- Lawrence, KS
- NPI 1043068794
-
- Community/Retail Pharmacy
- Lawrence, KS
- NPI 1265576631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1699236158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 ROSEN DR APT 4-319",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805282009",
"telephone_number": "785-320-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 ROSEN DR APT 4-319",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805282009",
"telephone_number": "785-320-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNK",
"first_name": "HALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0021848",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CO",
"license": "21848",
"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 Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.