Colorado Pharmacy and Supply Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

COLORADO PHARMACY AND SUPPLY INC

Practice address

1680 Colorado Blvd
Los Angeles, CA 90041-1436

Phone

(323) 254-6736

Fax

(323) 254-8772

NPI assigned

Jul 8, 2025

Organization subpart

No

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

Authorized official

Name

Asya Simonyan

Title

Owner

Phone

(323) 254-6736

Specialties & licenses 1

Addresses

Other names 1

• Colorado Medical Pharmacy Doing business as

Tax ID family

C N M Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Colorado Pharmacy and Supply Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1033190376
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haesun Cho, R.PH

  • Pharmacist
  • Los Angeles, CA
  • NPI 1760851760
  NPD (past)

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1255221602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411436",
            "telephone_number": "323-254-6736",
            "fax_number": "323-254-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 COLORADO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411436",
            "telephone_number": "323-254-6736",
            "fax_number": "323-254-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PHARMACY AND SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "SIMONYAN",
        "authorized_official_first_name": "ASYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-254-6736"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Domonique Colon, LPT
• Vianey Colon
• Colonial Drug Inc
• Colonial Drug Inc
• Colorado Pharmacy and Supply Inc
• Colorado Pharmacy Inc
• Sarah Anne Colosimo, CRNA
• Lakia A Colquitt
• Forest Colstrom, LCSW
• Colts Carriers LLC

• Long Term Care Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.