Active NPI
Marilyn Du Vall, PHARM.D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Aurora, CO
National Provider Identifier
1700448990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PHA.002435
- Practice address
- 16601 E Centretech Pkwy
Aurora, CO 80011-9045 - Phone
- (303) 349-1902
- NPI assigned
- Jul 8, 2019
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PHA.002435 | CO | Primary |
Addresses
Primary practice location
16601 E Centretech Pkwy
Aurora, CO 80011-9045
Mailing address
16601 E Centretech Pkwy
Aurora, CO 80011-9045
Phone (303) 349-1902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA.002435 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES |
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 |
|---|---|---|---|
| PHA.002435 | CO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1700448990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16601 E CENTRETECH PKWY",
"city": "AURORA",
"state": "CO",
"postal_code": "800119045",
"telephone_number": "303-349-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16601 E CENTRETECH PKWY",
"city": "AURORA",
"state": "CO",
"postal_code": "800119045",
"telephone_number": "303-349-1902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DU VALL",
"first_name": "MARILYN",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CO",
"license": "PHA.002435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
"identifier": "PHA.002435",
"state": "CO"
}
],
"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 Jul 8, 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.