Active NPI
Mango House
- Clinic Pharmacy
- Aurora, CO
National Provider Identifier
1750951554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- 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 HOUSE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210823002194 | CO | Part B Supplier - Pharmacy | 2860897212 | Practice locations: Aurora, CO |
National Provider Directory
National Provider Directory- Tax ID family
- Mango House
- Part of
- Mango House
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Aurora, CO
- NPI 1508349101
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.
-
- Clinic/Center
- Aurora, CO
- NPI 1508349101
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Aurora, CO
- NPI 1568031391
-
- Family Medicine Physician
- Aurora, CO
- NPI 1548590987
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.