Active NPI
Saddle Rock Pharmacy LLC
- Long Term Care Pharmacy
- Centennial, CO
National Provider Identifier
1043877657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- SADDLE ROCK PHARMACY LLC
- Practice address
- 12200 E Briarwood Ave Unit 152
Centennial, CO 80112-6860 - Phone
- (720) 353-4212
- Fax
- (720) 353-4331
- NPI assigned
- May 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Akosua Mensa, PHARMD
- Title
- Pharmacist/Owner
- Phone
- (720) 353-4212
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
12200 E Briarwood Ave Unit 152
Centennial, CO 80112-6860
Mailing address
22962 E Smoky Hill Rd
Aurora, CO 80016-1382
Phone (720) 353-4212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27630056 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rx@saddlerockpharmacy.com |
National Provider Directory
National Provider DirectoryLocations
12200 E Briarwood Ave
Unit 152
Centennial, CO 80112
Phone (720) 353-4212
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Centennial, CO
- NPI 1235439712
-
- Pharmacist
- Aurora, CO
- NPI 1194025700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1043877657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22962 E SMOKY HILL RD",
"city": "AURORA",
"state": "CO",
"postal_code": "800161382",
"telephone_number": "720-353-4212",
"fax_number": "720-353-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 E BRIARWOOD AVE UNIT 152",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801126860",
"telephone_number": "720-353-4212",
"fax_number": "720-353-4331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SADDLE ROCK PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-20",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A",
"authorized_official_last_name": "MENSA",
"authorized_official_first_name": "AKOSUA",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "720-353-4212",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27630056",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rx@saddlerockpharmacy.com",
"affiliation": "N",
"endpointDescription": "Email address",
"address_1": "22962 E Smoky Hill Rd",
"city": "Aurora",
"state": "CO",
"country_code": "US",
"postal_code": "800161382",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.