Healthcare Provider Details

I. General information

NPI: 1154013183
Provider Name (Legal Business Name): KELEON A D J ROCKETT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2023
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5544 PROMENADE PKWY
CASTLE ROCK CO
80108-1903
US

IV. Provider business mailing address

5544 PROMENADE PKWY
CASTLE ROCK CO
80108-1903
US

V. Phone/Fax

Practice location:
  • Phone: 303-562-9128
  • Fax:
Mailing address:
  • Phone: 303-562-9128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHCY-01465
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHA.0025079
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5302417239
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: