Organization Active NPI

Pharmacy Resources, Inc

  • Compounding Pharmacy
  • Denver, CO
National Provider Identifier
1124377346
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
370000012 Issued in CO
Legal business name
PHARMACY RESOURCES, INC
Practice address
5290 E Yale Cir
Ste 101
Denver, CO 80222-6918
Phone
(303) 691-3377
NPI assigned
Sep 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Gregg Pederson, RPH
Title
President
Phone
(303) 691-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 370000012 CO Primary

Addresses

Primary practice location

5290 E Yale Cir
Ste 101
Denver, CO 80222-6918

Mailing address

5290 E Yale Cir
Ste 101
Denver, CO 80222-6918

National Provider Directory

National Provider Directory

Locations

5290 E Yale Cir
Ste 101
Denver, CO 80222
Phone (303) 691-3377

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1124377346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 E YALE CIR",
            "address_2": "STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 E YALE CIR",
            "address_2": "STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226918",
            "telephone_number": "303-691-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY RESOURCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-691-3377",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CO",
            "license": "370000012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.