NPIMap

Organization Active NPI

Eden International, Inc.

  • Compounding Pharmacy
  • Broomfield, CO
National Provider Identifier
1275811523
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
822 Issued in CO
Legal business name
EDEN INTERNATIONAL, INC.
Practice address
10955 Westmoor Dr
Suite 400
Broomfield, CO 80021-2704
Phone
(303) 667-5114
Fax
(303) 379-2140
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Mrs. Donalee Peters
Title
President/ Chief Scientific Officer
Phone
(303) 667-5114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 822 CO Primary

Addresses

Primary practice location

10955 Westmoor Dr
Suite 400
Broomfield, CO 80021-2704

Mailing address

10955 Westmoor Dr
Suite 400
Broomfield, CO 80021-2704
Phone (303) 667-5114

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1275811523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10955 WESTMOOR DR",
            "address_2": "SUITE 400",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800212704",
            "telephone_number": "303-667-5114",
            "fax_number": "303-379-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10955 WESTMOOR DR",
            "address_2": "SUITE 400",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800212704",
            "telephone_number": "303-667-5114",
            "fax_number": "303-379-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN INTERNATIONAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "DONALEE",
        "authorized_official_title_or_position": "PRESIDENT/ CHIEF SCIENTIFIC OFFICER",
        "authorized_official_telephone_number": "303-667-5114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CO",
            "license": "822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.