Active NPI
Paul Koerner, PHARM. D.
- Pharmacist
- Aurora, CO
National Provider Identifier
1760890149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-13122
- Practice address
- 3191 S Vaughn Way # 102
Aurora, CO 80014-3505 - Phone
- (720) 748-2449
- Fax
- (720) 748-5324
- NPI assigned
- Jul 29, 2014
- Sex
- Male
- 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 | 1-13122 | KS | Primary |
Addresses
Primary practice location
3191 S Vaughn Way # 102
Aurora, CO 80014-3505
Mailing address
3191 S Vaughn Way # 102
Aurora, CO 80014-3505
Phone (720) 748-2449
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 |
|---|---|---|---|
| 1-13122 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Health Pharmacy | Current | Accepting new patients | |
| Grace Health Pharmacy | Current | Accepting new patients | |
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | Past | Accepting new patients |
Locations
3191 S Vaughn Way
#102
Aurora, CO 80014
Phone (720) 748-2449
Interoperability endpoints
- https://api.platform.athenahealth.com/18812/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Aurora, CO
- NPI 1366889115
-
- Long Term Care Pharmacy
- Aurora, CO
- NPI 1336823566
-
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
-
- Community/Retail Pharmacy
- Hays, KS
- NPI 1235170143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1760890149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3191 S VAUGHN WAY # 102",
"city": "AURORA",
"state": "CO",
"postal_code": "800143505",
"telephone_number": "720-748-2449",
"fax_number": "720-748-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3191 S VAUGHN WAY # 102",
"city": "AURORA",
"state": "CO",
"postal_code": "800143505",
"telephone_number": "720-748-2449",
"fax_number": "720-748-5324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOERNER",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-29",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-13122",
"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 Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.