Provider Demographics
NPI:1215604053
Name:URBAN, JAMELA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMELA
Middle Name:
Last Name:URBAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 BASSETT ST UNIT 2122
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1946
Mailing Address - Country:US
Mailing Address - Phone:720-231-2125
Mailing Address - Fax:
Practice Address - Street 1:1700 BASSETT ST UNIT 2122
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1946
Practice Address - Country:US
Practice Address - Phone:720-231-2125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-29
Last Update Date:2021-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO187231835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty