Active NPI
Mayda Mujica
- Pharmacist
- Loveland, CO
National Provider Identifier
1740876549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23208
- Practice address
- 1725 Rocky Mountain Ave
Loveland, CO 80538-8851 - Phone
- (970) 663-1962
- NPI assigned
- Dec 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 23208 | CO | Primary |
Addresses
Primary practice location
1725 Rocky Mountain Ave
Loveland, CO 80538-8851
Mailing address
2806 E 117TH Way
Thornton, CO 80233-1446
Phone (970) 946-8279
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 |
|---|---|---|---|
| 23208 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1740876549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2806 E 117TH WAY",
"city": "THORNTON",
"state": "CO",
"postal_code": "802331446",
"telephone_number": "970-946-8279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 ROCKY MOUNTAIN AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805388851",
"telephone_number": "970-663-1962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUJICA",
"first_name": "MAYDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "23208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
- Mpath, LLC
- Chris Mroz, RPH
- MRSC Co Aspen House Master Tenant, LLC (Aspen House Memory Care Assisted Living)
- Thomas C Mueller, MD
- Madison Lynn Muenster
- Jillian Marie Mullendore, PHARMD, RPH
- Lindsey R Mullins, LPC
- Sarah A Mumford, OTR/L, CHT
- Mums Lactation LLC (Mums Lactation)
- Thomas Eugene Munholland, LAC, MAC, LPCC, CRC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.