Active NPI
Ana Marie A Tadena
- Pharmacist
- Colo SPGS, CO
National Provider Identifier
1104592633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15823
- Practice address
- 1041 Elkton Dr
Colo SPGS, CO 80907-3539 - Phone
- (719) 599-8999
- Fax
- (800) 806-1413
- NPI assigned
- Aug 16, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 15823 | CO | Primary |
Addresses
Primary practice location
1041 Elkton Dr
Colo SPGS, CO 80907-3539
Mailing address
1041 Elkton Dr
Colo SPGS, CO 80907-3539
Phone (719) 599-8999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000 | Other | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | n/a |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15823 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1104592633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 ELKTON DR",
"city": "COLO SPGS",
"state": "CO",
"postal_code": "809073539",
"telephone_number": "719-599-8999",
"fax_number": "800-806-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 ELKTON DR",
"city": "COLO SPGS",
"state": "CO",
"postal_code": "809073539",
"telephone_number": "719-599-8999",
"fax_number": "800-806-1413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADENA",
"first_name": "ANA MARIE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "15823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "00000",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "n/a",
"affiliation": "N",
"address_1": "1041 Elkton Dr",
"city": "Colo Spgs",
"state": "CO",
"country_code": "US",
"postal_code": "809073539",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Colo SPGS, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.