Pidchaya Prindavong, PHARM D

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

0018762 Issued in CO

Practice address

1545 S Kipling Pkwy
Lakewood, CO 80232-6236

Phone

(303) 989-8490

Fax

(303) 969-3026

NPI assigned

Oct 2, 2023

Last updated

May 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1225818966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 S KIPLING PKWY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326236",
            "telephone_number": "720-280-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 S KIPLING PKWY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802326236",
            "telephone_number": "303-989-8490",
            "fax_number": "303-969-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINDAVONG",
        "first_name": "PIDCHAYA",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "0018762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnae Prevo, PA-C
• Jason Prezant, LPCC
• Tracy John Price, PSY.D.
• Wesley Prichard, D.O.
• Primary Care NPS Inc
• Gabrielle Michelle Pringle, BCBA
• Rachel Elizabeth Printy, PA-C
• Shelley Prisco, PTA
• Sophie Victoria Pritchard, RN
• Private Healthcare Facilities

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; 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.