Organization Active NPI

Iliff Pharmacy

  • Community/Retail Pharmacy
  • Aurora, CO
National Provider Identifier
1265502124
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
551 Issued in CO
Legal business name
ILIFF PHARMACY
Practice address
10730 E Iliff Ave
Aurora, CO 80014-4707
Phone
(303) 696-0155
Fax
(303) 696-0188
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Joanne Chon, RPH
Title
Pharmacy Manager
Phone
(303) 696-0155

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 551 CO Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

10730 E Iliff Ave
Aurora, CO 80014-4707

Mailing address

10730 E Iliff Ave
Aurora, CO 80014-4707

Other identifiers 2

IdentifierTypeStateIssuer
04171543MedicaidCO
0618908OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

10730 E Iliff Ave
Aurora, CO 80014
Phone (303) 696-0155

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1265502124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 E ILIFF AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 E ILIFF AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144707",
            "telephone_number": "303-696-0155",
            "fax_number": "303-696-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILIFF PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "CHON",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "303-696-0155",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "551",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04171543",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0618908",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.