Active NPI
La Clinica Tepeyac, Inc
Doing business as Tepeyac Pharmacy
- Pharmacy
- Denver, CO
National Provider Identifier
1275230328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- LA CLINICA TEPEYAC, INC
- Doing business as
- Tepeyac Pharmacy
- Practice address
- 2101 E 48TH Ave
Denver, CO 80216-2253 - Phone
- (303) 458-5302
- NPI assigned
- Feb 9, 2023
- Last updated
- Feb 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carola Regina Donohoo
- Title
- Revenue Cycle Manager
- Phone
- (720) 274-2923
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary | |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
2101 E 48TH Ave
Denver, CO 80216-2253
Mailing address
4725 High St
Denver, CO 80216-2220
Phone (303) 458-5302
Other names 1
- Tepeyac Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- La Clinica Tepeyac Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Tepeyac at Laradon
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1679162101
-
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1841781879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675900800000",
"number": "1275230328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4725 HIGH ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802162220",
"telephone_number": "303-458-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E 48TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802162253",
"telephone_number": "303-458-5302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA CLINICA TEPEYAC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-09",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A",
"authorized_official_last_name": "DONOHOO",
"authorized_official_first_name": "CAROLA",
"authorized_official_middle_name": "REGINA",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "720-274-2923"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tepeyac Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Denver, CO
- L & M Serenity LLC (Assured Senior Living 17)
- L & M Serenity LLC (Assured Senior Living 20)
- L.E. Haberstroh M.D. P.C.
- Sonja L'Heureux, RN
- La Beaute Aesthetics Medicine
- La Clinica Tepeyac, Inc
- La Clinica Tepeyac, Inc (Tepeyac Community Health Center - East 48th)
- La Clinica Tepeyac, Inc (Tepeyac at Laradon)
- La Clinica Tepeyac, Inc
- La Clinica Tepeyac, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.