NPIMap

Organization Active NPI

Colorado Department of Corrections

  • Institutional Pharmacy
  • Colorado Springs, CO
National Provider Identifier
1295917938
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
990000001 Issued in CO
Legal business name
COLORADO DEPARTMENT OF CORRECTIONS
Practice address
1250 Academy Park Loop
Colorado Springs, CO 80910-3708
Phone
(719) 226-4020
NPI assigned
Dec 5, 2007
Organization subpart
Yes
Parent organization
STATE OF COLORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Dr. Pengxin Liu, PHARMDNPI 1669935896
Title
Pharmacy Manger
Phone
(719) 226-4020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 990000001 CO Primary

Addresses

Primary practice location

1250 Academy Park Loop
Colorado Springs, CO 80910-3708

Mailing address

1250 Academy Park Loop
Colorado Springs, CO 80910-3708
Phone (719) 226-4020

Other identifiers 2

IdentifierTypeStateIssuer
990000001OtherCOCOLORADO STATE BOARD OF PHARMACY
0617552OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Colorado Department of Corrections Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Colorado Mental Health103 organizations share this tax ID, including this one
Part of
Colorado Mental Health

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1600 W 24th St
Bldg 16
Pueblo, CO 81003

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1295917938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 ACADEMY PARK LOOP",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103708",
            "telephone_number": "719-226-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 ACADEMY PARK LOOP",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103708",
            "telephone_number": "719-226-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO DEPARTMENT OF CORRECTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF COLORADO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "PENGXIN",
        "authorized_official_title_or_position": "PHARMACY MANGER",
        "authorized_official_telephone_number": "719-226-4020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "CO",
            "license": "990000001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE BOARD OF PHARMACY",
            "identifier": "990000001",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0617552",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Department of Corrections Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.