Organization Active NPI

Mango House

  • Clinic Pharmacy
  • Aurora, CO
National Provider Identifier
1750951554
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
MANGO HOUSE
Practice address
10180 E Colfax Ave Ste 150
Aurora, CO 80010-5042
Phone
(303) 900-8639
NPI assigned
Jun 25, 2021
Organization subpart
Yes
Parent organization
MANGO HOUSEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Rudder
Title
Operations Director
Phone
(479) 899-8024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary

Addresses

Primary practice location

10180 E Colfax Ave Ste 150
Aurora, CO 80010-5042

Mailing address

10180 E Colfax Ave Ste 150
Aurora, CO 80010-5042
Phone (303) 900-8639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210823002194 CO Part B Supplier - Pharmacy 2860897212 Practice locations: Aurora, CO

National Provider Directory

National Provider Directory
Tax ID family
Mango House2 organizations share this tax ID, including this one
Part of
Mango House

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1750951554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10180 E COLFAX AVE STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800105042",
            "telephone_number": "303-900-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 E COLFAX AVE STE 150",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800105042",
            "telephone_number": "303-900-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGO HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANGO HOUSE",
        "enumeration_date": "2021-06-25",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "RUDDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "479-899-8024"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.