Colorado Pharmacy LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

615 Issued in CO

Legal business name

COLORADO PHARMACY LLC

Practice address

2490 W 26TH Ave
Suite 300a
Denver, CO 80211-5314

Phone

(303) 458-6200

Fax

(303) 458-6203

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Jane Nichols

Title

President

Phone

(303) 863-7644

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Colorado Pharmacy West Doing business as

Tax ID family

Colorado Pharmacy2 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 LLC

  • Pharmacist
  • Denver, CO
  • NPI 1851386841
  NPD tax ID

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306831995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300127",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802030127",
            "telephone_number": "303-863-7644",
            "fax_number": "303-863-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 W 26TH AVE",
            "address_2": "SUITE 300A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115314",
            "telephone_number": "303-458-6200",
            "fax_number": "303-458-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-863-7644"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48985848",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Pharmacy West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colorado Permanente Medical Group, P.C.
• Colorado Permanente Medical Group, P.C.
• Colorado Permanente Medical Group, P.C.
• Colorado Permanente Medical Group, P.C.
• Colorado Permanente Medical Group, P.C.
• Colorado Pharmacy LLC
• Colorado Physician Injury Network
• Colorado Physician Partners, PLLC
• Colorado Podiatry Consultants PC
• Colorado Post-Acute Medical Services 1 PC

• Pharmacist in Denver, CO
• Providers in Denver, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.