Healthcare Provider Details

I. General information

NPI: 1316855562
Provider Name (Legal Business Name): AAYA M AL KASSI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 S MONACO STREET PKWY
DENVER CO
80224-1569
US

IV. Provider business mailing address

2219 S MACON CT
AURORA CO
80014-4912
US

V. Phone/Fax

Practice location:
  • Phone: 303-333-1545
  • Fax:
Mailing address:
  • Phone: 720-492-4233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHA.0025706
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: