NPIMap

Individual provider Active NPI

Roger Zundell

  • Pharmacy Technician
  • Westminster, CO
National Provider Identifier
1023261906
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
380101061165229 Issued in CO
Practice address
8501 Turnpike Dr
Suite 209
Westminster, CO 80031-7041
Phone
(303) 430-6554
Fax
(303) 430-6549
NPI assigned
Oct 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 380101061165229 CO Primary

Addresses

Primary practice location

8501 Turnpike Dr
Suite 209
Westminster, CO 80031-7041

Mailing address

8501 Turnpike Dr
Suite 209
Westminster, CO 80031-7041
Phone (303) 430-6554

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

LicenseStateTypeSpecialty
380101061165229COMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Shaver LTC Pharmacy Inc Past Accepting new patients
Shaver LTC Pharmacy Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1023261906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 TURNPIKE DR",
            "address_2": "SUITE 209",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317041",
            "telephone_number": "303-430-6554",
            "fax_number": "303-430-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 TURNPIKE DR",
            "address_2": "SUITE 209",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317041",
            "telephone_number": "303-430-6554",
            "fax_number": "303-430-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNDELL",
        "first_name": "ROGER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CO",
            "license": "380101061165229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.