Active NPI
Rodney Allen Shull, RPH
- Pharmacist
- Golden, CO
National Provider Identifier
1891337580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13469
- Practice address
- 19511 W 53Rd LN
Golden, CO 80403-2170 - Phone
- (303) 929-1561
- NPI assigned
- Oct 14, 2019
- 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 | 13469 | CO | Primary |
Addresses
Primary practice location
19511 W 53Rd LN
Golden, CO 80403-2170
Mailing address
19511 W 53Rd LN
Golden, CO 80403-2170
Phone (303) 929-1561
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13469 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1891337580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19511 W 53RD LN",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804032170",
"telephone_number": "303-929-1561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19511 W 53RD LN",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804032170",
"telephone_number": "303-929-1561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULL",
"first_name": "RODNEY",
"middle_name": "ALLEN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-14",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "13469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.