Individual provider Active NPI

Alexander F Blum, PHARMACIST

  • Pharmacist
  • Denver, CO
National Provider Identifier
1235826009
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA.0024850 Issued in CO
Practice address
4005 E 8TH PL
Denver, CO 80220-3942
Phone
(303) 749-3969
NPI assigned
Apr 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA.0024850 CO Primary

Addresses

Primary practice location

4005 E 8TH PL
Denver, CO 80220-3942

Mailing address

9123 E Mississippi Ave
E1 BLDG 13 Unit 302
Denver, CO 80247

Other practice location 1

4301 E Virginia Ave
Glendale, CO 80246-1510
Phone (303) 209-0183

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

State licenses

LicenseStateTypeSpecialty
PHA.0024850COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc PastSince Jul 28, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1235826009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9123 E MISSISSIPPI AVE",
            "address_2": "E1 BLDG 13 UNIT 302",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 E 8TH PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203942",
            "telephone_number": "303-749-3969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 E Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CO",
            "postal_code": "802461510",
            "country_code": "US",
            "telephone_number": "303-209-0183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUM",
        "first_name": "ALEXANDER",
        "middle_name": "F",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0024850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.