IndividualActive
Amanda Moon
NPI 1013316116 · Community/Retail Pharmacy · Firestone, CO
Provider details
- NPI number
- 1013316116
- Entity type
- Individual
- Primary specialty
- Community/Retail PharmacySuppliers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 24326 (CO)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6110 Firestone Blvd
Firestone, CO 80504-6425
Phone: (303) 682-4170
Street-level locationGet directions
Mailing address
6110 Firestone Blvd
Firestone, CO 80504-6425
Registry dates
- Enumerated
- 2014-08-14
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.