Active NPI
Kelly Koon, PHARMD
- Pharmacist
- Aurora, CO
National Provider Identifier
1891365060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0023992
- Practice address
- 12850 E Montview Blvd
Aurora, CO 80045-2605 - Phone
- (720) 848-0000
- NPI assigned
- Jun 29, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR70620 | ME | |
| Pharmacy Technician | 183700000X | PI70419 | ME | |
| Pharmacist | 183500000X | 0023992 | CO | Primary |
Addresses
Primary practice location
12850 E Montview Blvd
Aurora, CO 80045-2605
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
1635 Aurora Ct
Aurora, CO 80045-2541
Phone (616) 826-2082
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 |
|---|---|---|---|
| 0023992 | CO | MD | Pharmacist |
| PR70620 | ME | MD | Pharmacist |
| PI70419 | ME | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1891365060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"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": "720-848-0000"
}
],
"practiceLocations": [
{
"address_1": "1635 Aurora Ct",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452541",
"country_code": "US",
"telephone_number": "616-826-2082",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOON",
"first_name": "KELLY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR70620",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "ME",
"license": "PI70419",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0023992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.