Active NPI
Paul Pelanek, R.PH.
- Pharmacist
- Firestone, CO
National Provider Identifier
1083997183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13753
- Practice address
- 5962 Firestone Blvd
Firestone, CO 80504-6606 - Phone
- (303) 532-8069
- Fax
- (303) 532-8072
- NPI assigned
- Sep 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13753 | CO | Primary |
Addresses
Primary practice location
5962 Firestone Blvd
Firestone, CO 80504-6606
Mailing address
5962 Firestone Blvd
Firestone, CO 80504-6606
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13753 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316908800000",
"number": "1083997183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5962 FIRESTONE BLVD",
"city": "FIRESTONE",
"state": "CO",
"postal_code": "805046606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5962 FIRESTONE BLVD",
"city": "FIRESTONE",
"state": "CO",
"postal_code": "805046606",
"telephone_number": "303-532-8069",
"fax_number": "303-532-8072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELANEK",
"first_name": "PAUL",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-25",
"last_updated": "2011-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "13753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Firestone, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.