Active NPI
Elizabeth Cundall, PHARM.D.
- Pharmacist
- Superior, CO
National Provider Identifier
1134529878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA0020396
- Practice address
- 400 Marshall Rd
Superior, CO 80027-8623 - Phone
- (303) 209-0107
- NPI assigned
- Aug 31, 2014
- Last updated
- Aug 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | PHA0020396 | CO | Primary |
Addresses
Primary practice location
400 Marshall Rd
Superior, CO 80027-8623
Mailing address
400 Marshall Rd
Superior, CO 80027-8623
Phone (303) 209-0107
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA0020396 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409443200000",
"number": "1134529878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MARSHALL RD",
"city": "SUPERIOR",
"state": "CO",
"postal_code": "800278623",
"telephone_number": "303-209-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MARSHALL RD",
"city": "SUPERIOR",
"state": "CO",
"postal_code": "800278623",
"telephone_number": "303-209-0107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNDALL",
"first_name": "ELIZABETH",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-31",
"last_updated": "2014-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA0020396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Superior, CO
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- Emily Deardorff, M.A. CCC-SLP
- Suzanne Rene Delange, LMT
- Emily Deleon, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.