Sisters of Charity of Leavenworth Health System Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC

Doing business as

Intermountain Pharmacy #21

Practice address

15389 W 91St Dr Ste 102
Arvada, CO 80007-1400

Phone

(303) 813-5532

NPI assigned

Oct 22, 2021

Last updated

Nov 7, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCAs reported in NPPES

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

Authorized official

Name

Ronald Sparks

Title

VP Ancillary & Support Operations

Phone

(303) 813-5187

Specialties & licenses 2

Addresses

Other names 2

• Intermountain Pharmacy #21 Doing business as
• Intermountain Health Candelas Pharmacy Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sisters of Charity of Leavenworth Health System Inc

  dba Intermountain Pharmacy #05

  • Institutional Pharmacy
  • Denver, CO
  • NPI 1326589417

  O20180327001089

  Same enrollment
• Sisters of Charity of Leavenworth Health System Inc

  dba Intermountain Specialty Pharmacy - Denver

  • Institutional Pharmacy
  • Denver, CO
  • NPI 1356898274

  O20180327001089

  Same enrollment
• Sisters of Charity of Leavenworth Health System Inc

  dba Intermountain Pharmacy #09

  • Institutional Pharmacy
  • Wheat Ridge, CO
  • NPI 1629515028

  O20180327001089

  Same enrollment
• Sisters of Charity of Leavenworth Health System Inc

  dba Intermountain Pharmacy #07

  • Institutional Pharmacy
  • Lafayette, CO
  • NPI 1720525124

  O20180327001089

  Same enrollment

Part of

Sisters of Charity of Leavenworth Health System Inc

Locations

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1053075374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE STE T2-434",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15389 W 91ST DR STE 102",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800071400",
            "telephone_number": "303-813-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC",
        "enumeration_date": "2021-10-22",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "VP ANCILLARY & SUPPORT OPERATIONS",
        "authorized_official_telephone_number": "303-813-5187"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Pharmacy #21",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Intermountain Health Candelas Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chris Singer, RRT
• Harmeet Singh, MD
• Metrona Marie Beth Sinka-Weimer, RN
• Siq Consulting and Research LLC (A Good Nights Sleep)
• Danette Siravo
• Valerie Sjoberg, L.AC.
• SKB Therapy Services Inc
• Michelle Skellenger, LSW
• Katie Skinner, RN
• Mackenzie Leigh Skoumal

• Community/Retail Pharmacy in Arvada, CO
• Providers in Arvada, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.