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1918 Winter Street Operating Co LLC

Organization Active NPI Community/Retail Pharmacy · Thornton, CO

NPI 1326896002 · NPPES record last updated Jul 24, 2024

Key facts

NPI
1326896002
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
1918 WINTER STREET OPERATING CO LLC
Practice address
3840 E 104TH Ave
Thornton, CO 80233-4436
Phone
(303) 255-0587
Fax
(303) 255-0435
NPI assigned
May 8, 2024
Organization subpart
No

Authorized official

Name
Kevin McNamara
Title
Authorized Person
Phone
(603) 354-4619

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1031866Safeway Pharmacy #0892
3840 East 104TH Ave, Thornton, CO 80233		Certificate of waiverNov 14, 2027

National Provider Directory

Tax ID family
1918 Winter Street Operating Co LLC (496 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

3840 E 104TH Ave
Thornton, CO 80233-4436

Mailing address

7 Corporate Dr
Keene, NH 03431-5042
Phone (603) 354-7000

Other names

  • SAFEWAY PHARMACY #0892 Doing business as

Other providers in Thornton, CO

All providers in Thornton, CO · Community/Retail Pharmacy in Colorado

Sources for this page

Verify at the official NPI Registry.