Active NPI
Kacey Marie Fagler, PHARMD
- Pharmacist
- Boulder, CO
National Provider Identifier
1861911901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21555
- Practice address
- 4800 Baseline Rd Ste E107
Boulder, CO 80303-2643 - Phone
- (303) 499-1919
- NPI assigned
- Sep 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH.36904 | SC | |
| Pharmacist | 183500000X | 21555 | CO | Primary |
Addresses
Primary practice location
4800 Baseline Rd Ste E107
Boulder, CO 80303-2643
Mailing address
120 Edgeview Dr Apt 6407
Broomfield, CO 80021-8100
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 |
|---|---|---|---|
| 21555 | CO | MD | Pharmacist |
| PH.36904 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1861911901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 EDGEVIEW DR APT 6407",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800218100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 BASELINE RD STE E107",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032643",
"telephone_number": "303-499-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGLER",
"first_name": "KACEY",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-10",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "PH.36904",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "21555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.