Individual provider Active NPI

Sambou S Jatta, PHARMACIST (PHARM.D.

  • Pharmacist
  • Aurora, CO
National Provider Identifier
1891131934
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15937 Issued in CO
Practice address
2201 S Moline CT
Aurora, CO 80014-4913
Phone
(720) 748-7766
NPI assigned
May 15, 2013
Last updated
May 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15937 CO Primary

Addresses

Primary practice location

2201 S Moline CT
Aurora, CO 80014-4913

Mailing address

2201 S Moline CT
Aurora, CO 80014-4913
Phone (720) 748-7766

Other names 1

  • Mr. Sam S Jatta Professional name

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

State licenses

LicenseStateTypeSpecialty
15937COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1891131934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S MOLINE CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144913",
            "telephone_number": "720-748-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S MOLINE CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144913",
            "telephone_number": "720-748-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JATTA",
        "first_name": "SAMBOU",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST (PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "15937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "JATTA",
            "middle_name": "S",
            "prefix": "MR.",
            "credential": "PHARMACIST (PHARM.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 May 15, 2013; 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.