Individual provider Active NPI

Mason Carter

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Golden, CO
National Provider Identifier
1972291367
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
PHA.0025537 Issued in CO
Practice address
17171 S Golden Rd
Golden, CO 80401-7334
Phone
(303) 279-5684
NPI assigned
Apr 25, 2023
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20035 OK
Pharmacist 183500000X 25537 CO
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PHA.0025537 CO Primary

Addresses

Primary practice location

17171 S Golden Rd
Golden, CO 80401-7334

Mailing address

17171 S Golden Rd
Golden, CO 80401-7334
Phone (303) 279-5684

Other practice location 1

4404 S Peoria Ave
Tulsa, OK 74105-3926
Phone (918) 749-1607

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
25537COMDPharmacist
20035OKMDPharmacist
PHA.0025537COMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East LP PastSince Apr 30, 2023 Accepting new patients
Dillon Companies LLC Past Accepting new patients
Wal-Mart Stores East, LP PastSince Apr 30, 2023 Accepting new patients
Dillon Companies LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1972291367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17171 S GOLDEN RD",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804017334",
            "telephone_number": "303-279-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17171 S GOLDEN RD",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804017334",
            "telephone_number": "303-279-5684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4404 S Peoria Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741053926",
            "country_code": "US",
            "telephone_number": "918-749-1607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "MASON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-25",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "20035",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "25537",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "PHA.0025537",
            "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 Jun 1, 2026; 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.