Karly Mackenzie Bergquist, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

22315 Issued in CO

Practice address

12850 E Montview Blvd
Aurora, CO 80045-2605

Phone

(303) 724-1234

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1831679315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 BLAKE ST UNIT 112",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 E MONTVIEW BLVD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452605",
            "telephone_number": "303-724-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGQUIST",
        "first_name": "KARLY",
        "middle_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "22315",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "22315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bergeron Mitchell, PA-C
• Zackary Drew Bergeson, DMD
• Amanda Rose Berggren, DO
• Jena Lynn Berghane, NP
• Kari J Bergman, CST CFA
• Erika Michelle Bergstrom, PA-C
• Morgan Bergstrom
• Berhane Transportation LLC
• Yordanos Berhe
• Gebremeskel Berhel

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Aurora, CO
• Providers in Aurora, CO by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.