Active NPI
Laura Jean Trujillo, RPH
- Pharmacist
- Centennial, CO
National Provider Identifier
1730526740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11936
- Practice address
- 4611 S Ensenada St
Centennial, CO 80015-5823 - Phone
- (720) 560-2352
- NPI assigned
- May 30, 2013
- 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 | 11936 | CO | Primary |
Addresses
Primary practice location
4611 S Ensenada St
Centennial, CO 80015-5823
Mailing address
4611 S Ensenada St
Centennial, CO 80015-5823
Phone (720) 560-2352
Other names 1
- Laura Jean Lutz
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11936 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1730526740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 S ENSENADA ST",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800155823",
"telephone_number": "720-560-2352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 S ENSENADA ST",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800155823",
"telephone_number": "720-560-2352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "LAURA",
"middle_name": "JEAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-30",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "11936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "LUTZ",
"middle_name": "JEAN",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.