Organization Active NPI

Essential Pharmacy Boulder LLC

  • Mail Order Pharmacy
  • Boulder, CO
National Provider Identifier
1174723241
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
17337 Issued in CO
Legal business name
ESSENTIAL PHARMACY BOULDER LLC
Practice address
1001 Lee Hill Dr
Suite 200B
Boulder, CO 80302-9471
Phone
(303) 449-0089
Fax
(303) 443-0092
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Lisa R Rittel, DO
Title
Managing Member
Phone
(303) 641-4016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 17337 CO Primary

Addresses

Primary practice location

1001 Lee Hill Dr
Suite 200B
Boulder, CO 80302-9471

Mailing address

2525 Arapahoe Ave
Suite E-4, #542
Boulder, CO 80302-6720
Phone (303) 449-0089

Other names 1

  • Essential Pharmacy Compounding Doing business as

National Provider Directory

National Provider Directory

Locations

1001 Lee Hill Dr
Ste 200B
Boulder, CO 80302
Phone (303) 449-0089

2525 Arapahoe Ave
Unit E4
Boulder, CO 80302
Phone (303) 449-0089

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": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1174723241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 ARAPAHOE AVE",
            "address_2": "SUITE E-4, #542",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026720",
            "telephone_number": "303-449-0089",
            "fax_number": "303-443-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LEE HILL DR",
            "address_2": "SUITE 200B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803029471",
            "telephone_number": "303-449-0089",
            "fax_number": "303-443-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL PHARMACY BOULDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "RITTEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "303-641-4016",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "CO",
            "license": "17337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essential Pharmacy Compounding",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.