Healthcare Provider Details

I. General information

NPI: 1881192151
Provider Name (Legal Business Name): YEPHUNAH SHAFEEQ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2018
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ENGLEWOOD PKWY
ENGLEWOOD CO
80110-2427
US

IV. Provider business mailing address

8291 LIVERPOOL CIR
LITTLETON CO
80125-7939
US

V. Phone/Fax

Practice location:
  • Phone: 303-761-7817
  • Fax:
Mailing address:
  • Phone: 720-979-4806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21379
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number21379
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: