NPIMap

Organization Active NPI

University of Colorado Hospital Authority

  • Pharmacy
  • Aurora, CO
National Provider Identifier
1164582391
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
990000068 Issued in CO
Legal business name
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY
Practice address
1635 Aurora CT
Room 1012 Ms F702
Aurora, CO 80045-2541
Phone
(720) 848-1020
Fax
(720) 848-1040
NPI assigned
Dec 11, 2006
Organization subpart
Yes
Parent organization
UNIVERSITY OF COLORADO HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Julie Nickell
Title
Cfo
Phone
(720) 848-0000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 990000068 CO Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1635 Aurora CT
Room 1012 Ms F702
Aurora, CO 80045-2541

Mailing address

7901 E Lowry Blvd
F402, 3Rd Floor
Denver, CO 80230

Other identifiers 1

IdentifierTypeStateIssuer
37731572MedicaidCO

Other names 1

  • University of Colorado Hospital Outpatient Pavilion Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930084422 CO DME Supplier - Pharmacy 1052223724 Practice locations: Aurora, CO
O20180323000115 CO Part B Supplier - Mass Immunization (Roster Biller Only) 1052223724 2 other NPIs on this enrollment
Practice locations: Aurora, CO

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
University Hospital - C39 organizations share this tax ID, including this one
Part of
University Hospital - C

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

1635 Aurora Ct
Ste F702
Aurora, CO 80045
Phone (720) 848-1020

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1164582391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 E LOWRY BLVD",
            "address_2": "F402, 3RD FLOOR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 AURORA CT",
            "address_2": "ROOM 1012 MS F702",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452541",
            "telephone_number": "720-848-1020",
            "fax_number": "720-848-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF COLORADO HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF COLORADO HOSPITAL AUTHORITY",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "NICKELL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "720-848-0000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CO",
            "license": "990000068",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37731572",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Colorado Hospital Outpatient Pavilion Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.