Active NPI
Annelesa Vartanian, RPH
- Pharmacist
- Fort Collins, CO
National Provider Identifier
1184947624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052892
- Practice address
- 743 S Lemay Ave
Fort Collins, CO 80524-3251 - Phone
- (970) 482-5492
- Fax
- (970) 482-2063
- NPI assigned
- Mar 11, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 052892 | NY | Primary |
Addresses
Primary practice location
743 S Lemay Ave
Fort Collins, CO 80524-3251
Mailing address
743 S Lemay Ave
Fort Collins, CO 80524-3251
Phone (970) 482-5492
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.15140@sotre.walgreens.com | Direct | |
| Direct Messaging Address | rxm.11862@store.walgreens.com | Health Information Exchange (HIE) |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052892 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Pharmacy
- Longview, TX
- NPI 1629956545
-
- Pharmacy
- Albany, NY
- NPI 1750516852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1184947624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 S LEMAY AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243251",
"telephone_number": "970-482-5492",
"fax_number": "970-482-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 S LEMAY AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243251",
"telephone_number": "970-482-5492",
"fax_number": "970-482-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARTANIAN",
"first_name": "ANNELESA",
"name_prefix": "Miss",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-11",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "052892",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.15140@sotre.walgreens.com",
"affiliation": "N",
"endpointDescription": "pharmacy",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5317 Williams Dr",
"city": "Georgetown",
"state": "TX",
"country_code": "US",
"postal_code": "786339202",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.11862@store.walgreens.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "743 S LeMay Ave",
"city": "Fort Collins",
"state": "CO",
"country_code": "US",
"postal_code": "805243251",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.