Organization Active NPI

Saddle Rock Pharmacy LLC

  • Community/Retail Pharmacy
  • Centennial, CO
National Provider Identifier
1114394947
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SADDLE ROCK PHARMACY LLC
Practice address
12200 E Briarwood Ave Unit 152
Centennial, CO 80112-6860
Phone
(720) 353-4212
Fax
(720) 353-4331
NPI assigned
Aug 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Dr. Akosua Mensa, PHARMDNPI 1235439712
Title
Pharmacist Owner
Phone
(720) 353-4212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

12200 E Briarwood Ave Unit 152
Centennial, CO 80112-6860

Mailing address

22962 E Smoky Hill Rd
Aurora, CO 80016-1382
Phone (720) 353-4212

Other identifiers 1

IdentifierTypeStateIssuer
27630056MedicaidCO

National Provider Directory

National Provider Directory

Locations

22962 E Smoky Hill Rd
Aurora, CO 80016
Phone (720) 353-4212

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1114394947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22962 E SMOKY HILL RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161382",
            "telephone_number": "720-353-4212",
            "fax_number": "720-353-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 E BRIARWOOD AVE UNIT 152",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126860",
            "telephone_number": "720-353-4212",
            "fax_number": "720-353-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLE ROCK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "MENSA",
        "authorized_official_first_name": "AKOSUA",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "720-353-4212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27630056",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.