Healthcare Provider Details

I. General information

NPI: 1861835092
Provider Name (Legal Business Name): BERIN VATTAPPILLIL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5125 W FLORIDA AVE
DENVER CO
80219-3605
US

IV. Provider business mailing address

5125 W FLORIDA AVE
DENVER CO
80219-3605
US

V. Phone/Fax

Practice location:
  • Phone: 303-936-7403
  • Fax: 303-937-4426
Mailing address:
  • Phone: 303-936-7403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number18415
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18415
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: