NPIMap

Organization Active NPI

King Soopers

  • Pharmacist
  • Denver, CO
National Provider Identifier
1346795903
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0021435 Issued in CO
Legal business name
KING SOOPERS
Practice address
65 Tejon St
Denver, CO 80223-1221
Phone
(314) 757-4031
NPI assigned
Aug 23, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Iyobosa Sandra Osa-Edoh, PHARM.D
Title
Pharmacist
Phone
(314) 757-4031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 0021435 CO Primary

Addresses

Primary practice location

65 Tejon St
Denver, CO 80223-1221

Mailing address

65 Tejon St
Denver, CO 80223-1221
Phone (314) 757-4031

National Provider Directory

National Provider Directory
Tax ID family
Kroger240 organizations share this tax ID, including this one

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

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1346795903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 TEJON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802231221",
            "telephone_number": "314-757-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 TEJON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802231221",
            "telephone_number": "314-757-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING SOOPERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "OSA-EDOH",
        "authorized_official_first_name": "IYOBOSA",
        "authorized_official_middle_name": "SANDRA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "314-757-4031",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "0021435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.