Kushmart

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

427721 Issued in CO

Legal business name

KUSHMART

Practice address

4095 Jackson St
Denver, CO 80216-6522

Phone

(702) 630-1610

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. William Scott Johnson

Title

Owner

Phone

(702) 630-1610

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1972832277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 JACKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802166522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 JACKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802166522",
            "telephone_number": "702-630-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSHMART",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-630-1610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CO",
            "license": "427721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Anna Kurtz, MSOT
• Nandita Kuruvilla, D.O.
• Monika Kurys-Czaja
• Nahid Kuseh Kalani Yazd
• Brittany Grace Kusek, PNP
• Catherine A Kushner
• Samuel Kushner, DPT
• Jonathan M Kusumi, MD
• Robert Kutch
• Jay A. Kutnick, MD

• Non-Pharmacy Dispensing Site in Denver, CO
• Providers in Denver, CO by specialty
• Non-Pharmacy Dispensing Site in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.