Active NPI
Sambou S Jatta, PHARMACIST (PHARM.D.
- Pharmacist
- Aurora, CO
National Provider Identifier
1891131934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15937
- Practice address
- 2201 S Moline CT
Aurora, CO 80014-4913 - Phone
- (720) 748-7766
- NPI assigned
- May 15, 2013
- Last updated
- May 15, 2013
- 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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15937 | CO | MD | Pharmacist |
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.