Davita Pharmacy Colorado, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DAVITA PHARMACY COLORADO, LLC

Practice address

1633 Medical Center PT
Colorado Springs, CO 80907-5700

Phone

(719) 633-2762

NPI assigned

Nov 6, 2014

Organization subpart

Yes

Parent organization

HEALTHCARE PARTNERS COLORADO, LLCAs reported in NPPES

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

Authorized official

Name

James Hilger

Title

Chief Accounting Officer

Phone

(253) 973-0777

Specialties & licenses 1

Addresses

Other names 1

• Colorado Springs Health Partners Pharmacy LLC Doing business as

Tax ID family

Colorado Springs Health Partners Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Davita Pharmacy Colorado, LLC

  • Community/Retail Pharmacy
  • Colorado Springs, CO
  • NPI 1447315627
  NPD tax ID

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1104222918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S CASCADE AVE",
            "address_2": "SUITE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 MEDICAL CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075700",
            "telephone_number": "719-633-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVITA PHARMACY COLORADO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHCARE PARTNERS COLORADO, LLC",
        "enumeration_date": "2014-11-06",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-973-0777"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Springs Health Partners Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thamires Davis
• Maxwell Sky Davison-Kerwood, MD
• Davita Medical Group Colorado Springs, LLC
• Davita Medical Group Colorado Springs, LLC
• Davita Medical Group Colorado Springs, LLC
• Davita Pharmacy Colorado, LLC
• Dana Ann Dawdy, ARNP
• Leslie Marie Dawdy, APN
• Georgie Lela Dawi
• Dawn Marie Obrien Taylor

• Community/Retail Pharmacy in Colorado Springs, CO
• Providers in Colorado Springs, 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 Mar 15, 2017; 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.