Active NPI
State of Colorado
Doing business as Colorado Veterans Community Living Center at Fitzsimons Phar
- Community/Retail Pharmacy
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 724
- Legal business name
- STATE OF COLORADO
- Doing business as
- Colorado Veterans Community Living Center at Fitzsimons Phar
- Practice address
- 1919 Quentin St
Aurora, CO 80045-7125 - Phone
- (720) 857-6422
- Fax
- (720) 857-6509
- NPI assigned
- May 27, 2008
- Last updated
- May 19, 2025
- 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
- Carrie Hsu, PHARM.D.
- Title
- Business/Finance Manager
- Phone
- (303) 356-5821
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 724 | CO | Primary |
| Long Term Care Pharmacy | 3336L0003X | NU |
Addresses
Primary practice location
1919 Quentin St
Aurora, CO 80045-7125
Mailing address
1919 Quentin St
Aurora, CO 80045-7125
Phone (720) 857-6422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1997835 | Other | PK |
Other names 1
- Colorado Veterans Community Living Center at Fitzsimons Phar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260430003122 | CO | Part B Supplier - Pharmacy | 5991613812 | Practice locations: Aurora, CO |
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Colorado State Veterans Nursing Home - Rifle
- Skilled Nursing Facility
- Rifle, CO
- NPI 1093702722
5991613812
-
dba Colorado Veterans Community Living Center Homelake
- Skilled Nursing Facility
- Monte Vista, CO
- NPI 1114085875
5991613812
-
dba Colorado Mental Health Institute Pueblo
- Psychiatric Hospital
- Pueblo, CO
- NPI 1144352550
5991613812
-
dba Colorado State Veterans Home at Fitzsimons
- Skilled Nursing Facility
- Aurora, CO
- NPI 1508931536
5991613812
-
dba Colorado Mental Health Institute Fort Logan
- Psychiatric Hospital
- Denver, CO
- NPI 1548393937
5991613812
-
dba Bruce McCandless Colorado State Veterans Nursing Home
- Skilled Nursing Facility
- Florence, CO
- NPI 1669470910
5991613812
National Provider Directory
National Provider Directory- Tax ID family
- Fort Lyon Correctional Facility
Organizations with this tax ID in the same state 19
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Prison Health Clinic/Center
- Delta, CO
- NPI 1023906724
-
- Prison Health Clinic/Center
- Canon City, CO
- NPI 1104716240
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1053444315
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1063545325
-
- Psychiatric Hospital Unit
- Pueblo, CO
- NPI 1043342793
-
- Skilled Nursing Facility
- Aurora, CO
- NPI 1073500450
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Denver, CO
- NPI 1144132705
-
- Developmentally Disabled Services Day Training Agency
- Grand Junction, CO
- NPI 1104959477
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Pueblo, CO
- NPI 1043759541
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Pueblo, CO
- NPI 1043759558
-
- Developmentally Disabled Services Day Training Agency
- Pueblo West, CO
- NPI 1063545465
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1073646337
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Colorado Mental Health Institute Pueblo | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Apr 11, 2013 Apr 11, 2013 |
| Colorado Mental Health Institute at Fort Logan | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Colorado Veterans Community Living Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2015 Jan 1, 2015 |
| Colorado Veterans Community Living Center - Homelake | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Jan 12, 2007 |
| Colorado Veterans Community Living Center at Florence (Bruce McCandles | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 1975 |
Owned or controlled facilities with NPI records 6
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Colorado State Veterans Nursing Home - Rifle
- Skilled Nursing Facility
- Rifle, CO
- NPI 1093702722
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Colorado Veterans Community Living Center Homelake
- Skilled Nursing Facility
- Monte Vista, CO
- NPI 1114085875
5% Or Greater Direct Ownership Interest
-
dba Colorado Mental Health Institute Pueblo
- Psychiatric Hospital
- Pueblo, CO
- NPI 1144352550
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Psychiatric Hospital
- Pueblo, CO
- NPI 1326170739
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Colorado Mental Health Institute Fort Logan
- Psychiatric Hospital
- Denver, CO
- NPI 1548393937
5% Or Greater Direct Ownership Interest
-
dba Bruce McCandless Colorado State Veterans Nursing Home
- Skilled Nursing Facility
- Florence, CO
- NPI 1669470910
5% Or Greater Direct Ownership Interest
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747612800000",
"number": "1053579177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 QUENTIN ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800457125",
"telephone_number": "720-857-6422",
"fax_number": "720-857-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 QUENTIN ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800457125",
"telephone_number": "720-857-6422",
"fax_number": "720-857-6509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-27",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "HSU",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "BUSINESS/FINANCE MANAGER",
"authorized_official_telephone_number": "303-356-5821",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CO",
"license": "724",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1997835",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Colorado Veterans Community Living Center at Fitzsimons Phar",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.