1918 Winter Street Operating Co LLC
Organization Active NPI Community/Retail Pharmacy · Centennial, CO
NPI 1124899711 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1124899711
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- 1918 WINTER STREET OPERATING CO LLC
- Practice address
- 7375 E Arapahoe Rd
Centennial, CO 80112-1305 - Phone
- (303) 779-5520
- Fax
- (303) 771-9467
- NPI assigned
- Jan 11, 2024
- Organization subpart
- No
Authorized official
- Name
- Kevin McNamara
- Title
- Authorized Person
- Phone
- (603) 354-4619
Corporate family (same tax ID) 12
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2075278 | Safeway Pharmacy #0008 | Certificate of waiver | Nov 3, 2027 |
National Provider Directory
- Tax ID family
- 1918 Winter Street Operating Co LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
7375 E Arapahoe Rd
Centennial, CO 80112-1305
Mailing address
7 Corporate Dr
Keene, NH 03431-5042
Phone (603) 354-7000
Other names
- SAFEWAY PHARMACY #0008
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All providers in Centennial, CO · Community/Retail Pharmacy in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.