Active NPI
Tyrus Loye Papke
- Pharmacist
- Colorado Springs, CO
National Provider Identifier
1003199886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12150
- Practice address
- 9043 Estebury Cir
Colorado Springs, CO 80920-7558 - Phone
- (719) 282-0563
- NPI assigned
- Sep 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12150 | CO | Primary |
| Pharmacist | 183500000X | 4057 | ND |
Addresses
Primary practice location
9043 Estebury Cir
Colorado Springs, CO 80920-7558
Mailing address
9043 Estebury Cir
Colorado Springs, CO 80920-7558
Phone (719) 282-0563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12150 | CO | MD | Pharmacist |
| 4057 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1003199886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9043 ESTEBURY CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207558",
"telephone_number": "719-282-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9043 ESTEBURY CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207558",
"telephone_number": "719-282-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPKE",
"first_name": "TYRUS",
"middle_name": "LOYE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-27",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "12150",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "4057",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.