Healthcare Provider Details

I. General information

NPI: 1811806292
Provider Name (Legal Business Name): JAMAL M JAMIL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12505 E. 16TH AVE DEPARTMENT OF PHARMACY-F757
AURORA CO
80045
US

IV. Provider business mailing address

12179 CLAUDE CT
NORTHGLENN CO
80241-3307
US

V. Phone/Fax

Practice location:
  • Phone: 720-553-7810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License NumberPHA.0021788
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: