Individual provider Active NPI

Paul Koerner, PHARM. D.

  • Pharmacist
  • Aurora, CO
National Provider Identifier
1760890149
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-13122 Issued in KS
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

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1-13122KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Health Pharmacy Current Accepting new patients
Grace Health Pharmacy CurrentSince Nov 9, 2021 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.